Bao Tingwei, Wang Huiming, Wei Dong, Yu Di
Department of Stomatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
J Laryngol Otol. 2012 Dec;126(12):1287-91. doi: 10.1017/S0022215112002290. Epub 2012 Oct 23.
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.
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.
Twelve-month follow up confirmed the survival of the transplanted thyroid gland, with preserved thyroid function.
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.
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