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Lingual thyroid: tongue-splitting incision for transoral excision

Published online by Cambridge University Press:  29 June 2007

Bishara S. Atiyeh ,
Amir Abdelnour ,
Fadi F. Haddad  and
Hussein Ahmad
Bishara S. Atiyeh*
Affiliation:
Division of Plastic and Reconstructive Surgery, Central Military Hospital of Beirut, Beirut, Lebanon.
Amir Abdelnour
Affiliation:
American University of Beirut Medical Center and the Department of Surgery, Central Military Hospital of Beirut, Beirut, Lebanon.
Fadi F. Haddad
Affiliation:
General Surgery, Central Military Hospital of Beirut, Beirut, Lebanon.
Hussein Ahmad
Affiliation:
Otolaryngology, Central Military Hospital of Beirut, Beirut, Lebanon.
*
Address for correspondence: Dr Bishara S. Atiyeh, Division of Plastic and Reconstructive Surgery, Department of Surgery, American University of Beirut Medical Center, c/o AUB New York Office, 850 Third Avenue, 18th Floor, New York, NY 10022, USA. Fax: (12) 478-1995
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Abstract

Two patients presenting to the Central Military Hospital of Beirut with symptomatic lingual thyroid are reported. I131 thyroid scanning revealed the lingual thyroid to be the only functional thyroid tissue present in each patient. Subsequent CT scanning demonstrated the large size of these ectopic thyroids causing significant mechanical obstruction. These were excised transorally using a posterior midline tonguesplitting incision and reimplanted in the rectus abdominis muscles.

Details of this modified tongue-splitting surgical approach are described. A brief review of the literature concerning lingual thyroid and its surgical treatment is also presented as well as three patients operated on for lingual thyroid at the American University of Beirut Medical Centre between 1975 and 1994 using an external neck incision.

Keywords

Lingual thyroidTransplantation, autologousReimplantation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 6 , June 1995 , pp. 520 - 524
Copyright
Copyright © JLO (1984) Limited 1995

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