Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-15T01:29:07.585Z Has data issue: false hasContentIssue false
  • English
  • Français

Transoral robotic resection of lingual thyroid: case report

Published online by Cambridge University Press:  14 October 2013

E H C Teo ,
S-T Toh ,
H-N Tay  and
H-J Han
E H C Teo
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore
S-T Toh*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore
H-N Tay
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore
H-J Han
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Singapore General Hospital, Singapore
*
Address for correspondence: Dr Song-Tar Toh, Department of Otolarynology-Head and Neck Surgery, Singapore General Hospital, Outram Road, Singapore 169608 Fax: +65 62262079 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We present a case of large, symptomatic lingual thyroid which was successfully and safely removed via a transoral approach, using the da Vinci robotic system, in an academic medical centre in Singapore.

Case report:

A 17-year-old female adolescent presented with a large lingual thyroid causing upper airway obstruction. She underwent robotic, minimally invasive, transoral resection using the da Vinci system. Post-operative recovery was uneventful; she was able to commence oral feeding almost immediately, and was discharged from hospital on the fourth post-operative day.

Conclusion:

It is surgically feasible and safe to undertake transoral robotic resection of a large lingual thyroid. This approach may allow faster recovery and shorter hospitalisation for patients. Surgical safety requires a full understanding of the intralingual neurovascular anatomy.

Keywords

Remote Operations (Robotics)Lingual ThyroidMinimally Invasive Surgical Procedures
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 10 , October 2013 , pp. 1034 - 1037
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Akyol, MU, Ozcan, M. Lingual thyroid. Otolaryngol Head Neck Surg 1996;115:483–4Google ScholarPubMed
2Kang, HC. Lingual thyroid: marked response to suppression therapy. Thyroid 2004;14:401–2CrossRefGoogle ScholarPubMed
3Iglesias, P, Olmos-Garcia, R, Riva, B, Diez, JJ. Iodine 131 and lingual thyroid. J Clin Endocrinol Metab 2008;93:4198–9CrossRefGoogle ScholarPubMed
4Dziegielewski, PT, Chau, JK, Seikaly, H, Allegretto, M, Barber, B, Harris, JR. Lingual thyroid in adults: management algorithm based on swallowing outcomes. J Otolaryngol Head Neck Surg 2011;40:19–26Google ScholarPubMed
5Orbelo, D, Ekbom, DC, Thompson, DM. Dysphonia associated with lingual thyroid gland and hypothyroidism: improvement after lingual thyroidectomy. Ann Otol Rhino Laryngol 2011;120:775–9CrossRefGoogle ScholarPubMed
6Terris, DJ, Seybt, MW, Vaughters, RB. A new minimally invasive lingual thyroidectomy technique. Thyroid 2010;20:1367–9CrossRefGoogle ScholarPubMed
7Burkart, CM, Richter, GT, Rutter, MJ, Myer, CM. Update on endoscopic management of lingual thyroglossal duct cysts. Laryngoscope 2009;119:2055–60CrossRefGoogle ScholarPubMed
8O'Malley, BW Jr, Weinstein, GS, Snyder, W, Hockstein, NG. Transoral robotic surgery (TORS) for base of tongue neoplasms. Laryngoscope 2006;116:1465–72CrossRefGoogle ScholarPubMed
9May, JT, Newman, JG, Padhya, TA. Transoral robot-assisted excision of a lingual thyroid gland. J Robot Surg 2011;3:217–20CrossRefGoogle Scholar
10Lauretano, AM, Li, KK, Caradonna, DS, Khosta, RK, Fried, MP. Anatomic location of the tongue base neurovascular bundle. Laryngoscope 1997;107:1057–9CrossRefGoogle ScholarPubMed