Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-02T19:10:50.175Z Has data issue: false hasContentIssue false
  • English
  • Français

Transposition of a lingual thyroid to the submandibular space using a modified technique

Published online by Cambridge University Press:  23 October 2012

Tingwei Bao ,
Huiming Wang ,
Dong Wei  and
Di Yu
Tingwei Bao
Affiliation:
Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China Faculty of Dentistry, Zhejiang University, Hangzhou, China
Huiming Wang*
Affiliation:
Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China Faculty of Dentistry, Zhejiang University, Hangzhou, China
Dong Wei
Affiliation:
Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China Faculty of Dentistry, Zhejiang University, Hangzhou, China
Di Yu
Affiliation:
Hangzhou Dental Hospital, China
*
Address for correspondence: Dr H Wang, Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang Province, China Fax: +86 057187236395 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

We report a modified surgical technique for transplanting an ectopic, lingual thyroid to the submandibular space, in order to maintain thyroid function while relieving obstructive symptoms.

Case report:

A 52-year-old woman complained of progressive dysphagia and dyspnoea. Ectopic lingual thyroid tissue was diagnosed. The ectopic thyroid gland was transplanted into the submandibular region via a lateral pharyngeal approach. A random muscle pedicle was prepared to provide a vascular supply to the transposed gland.

Results:

Twelve-month follow up confirmed the survival of the transplanted thyroid gland, with preserved thyroid function.

Conclusion:

Surgical transplantation of a lingual thyroid to the submandibular region offers an alternative treatment method for this anomaly, which avoids the need for resection and lifelong thyroxine replacement.

Keywords

Lingual ThyroidThyroid Function TestsTransplantation
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 12 , December 2012 , pp. 1287 - 1291
Copyright
Copyright © JLO (1984) Limited 2012

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

1Chiu, TT, Su, CY, Hwang, CF, Chien, CY, Eng, HL. Massive bleeding from an ectopic lingual thyroid follicular adenoma during pregnancy. Am J Otolaryngol 2002;23:185–8CrossRefGoogle ScholarPubMed
2Yaday, S, Singh, I, Aggarwal, N. Medullary carcinoma in a lingual thyroid. Singapore Med J 2008;49:251–3Google Scholar
3Mussak, EN, Kacker, A. Surgical and medical management of midline ectopic thyroid. Otolaryngol Head Neck Surg 2007;136:870–2CrossRefGoogle ScholarPubMed
4Danner, C, Bodenner, D, Breau, R. Lingual thyroid: iodine 131: a viable treatment modality revisited. Am J Otolaryngol 2001;22:276–81CrossRefGoogle ScholarPubMed
5Puxeddu, R, Pelagatti, CL, Nicolai, P. Lingual thyroid: endoscopic management with CO2 laser. Am J Otolaryngol 1998;19:136–9CrossRefGoogle ScholarPubMed
6Minuto, FM, Fazzuoli, L, Rollandi, GA, Derchi, LE, Biassoni, P. Successful autotransplantation of lingual thyroid: 37-year follow-up. Lancet 1995;346:910CrossRefGoogle ScholarPubMed
7Wu, ZX, Zheng, LW, Dong, YJ, Li, ZB, Zhang, WF, Zhao, YF. Modified approach for lingual thyroid transposition: report of two cases. Thyroid 2008;18:465–8CrossRefGoogle ScholarPubMed
8Rojananin, S, Ungkanont, K. Transposition of the lingual thyroid: a new alternative technique. Head Neck 1999;21:480–33.0.CO;2-A>CrossRefGoogle ScholarPubMed
9Devine, JC, Rogers, SN, McNally, D, Brown, JS, Vaughan, ED. A comparison of aesthetic, functional and patient subjective outcomes following lip-split mandibulotomy and mandibular lingual releasing access procedures. Int J Oral Maxillofac Surg 2001;30:199–204CrossRefGoogle ScholarPubMed
10Righi, PD, Bade, MA, Coleman, JJ 3rd, Allen, M. Arteriovenous malformation of the base of tongue: case report and literature review. Microsurgery 1996;17:706–93.0.CO;2-K>CrossRefGoogle ScholarPubMed
11Duvvuri, U, Myers, JN. Contemporary management of oropharyngeal cancer: anatomy and physiology of the oropharynx. Curr Probl Surg 2009;46:119–84CrossRefGoogle ScholarPubMed
12Berglund, J, Aspelin, P, Bondeson, AG, Bondeson, L, Christensen, SB, Ekberg, O et al. Rapid increase in volume of the remnant after hemithyroidectomy does not correlate with serum concentration of thyroid stimulating hormone. Eur J Surg 1998;164:257–62CrossRefGoogle Scholar