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Updated: Aug 18, 2026
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Combined cervical and intraoral approach to lingual thyroid: a case report
J L Zitsman1, V R Lala, P M Rao
1Department of Surgery, Lincoln Medical and Mental Health Center, Bronx, New York 10451, USA.
Background:
Lingual thyroid is a rare anomaly that may require surgical intervention. Lesions have been approached either via the neck or transorally. Advantages and limitations exist with each technique.
Methods:
A 10-year-old female on long-term suppression therapy for lingual thyroid developed progressive dysphagia; surgical excision was performed. Suprahyoid pharyngotomy was used to dissect the posterior limits of the tumor. Resection was completed via a transoral approach.
Results:
Cervical exposure allowed safe access to the posterior tumor margins. Transoral exposure permitted direct dissection of the anterior margin of the lesion, rendering complete excision simple.
Conclusion:
A combined surgical approach to lingual thyroid is a safe technique that affords excellent visualization and facilitates resection.
