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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]
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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 

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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