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舌甲状腺:经口切除的舌劈开切口。

Lingual thyroid: tongue-splitting incision for transoral excision.

作者信息

Atiyeh B S, Abdelnour A, Haddad F F, Ahmad H

机构信息

Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Lebanon.

出版信息

J Laryngol Otol. 1995 Jun;109(6):520-4. doi: 10.1017/s0022215100130609.

DOI:10.1017/s0022215100130609
PMID:7642992
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 tongue-splitting 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.

摘要

本文报告了两名因有症状性舌甲状腺而就诊于贝鲁特中央军事医院的患者。碘-131甲状腺扫描显示,舌甲状腺是每名患者体内唯一具有功能的甲状腺组织。随后的CT扫描显示,这些异位甲状腺体积较大,造成了明显的机械性梗阻。通过经口采用舌后正中劈开切口将其切除,并重新植入腹直肌。文中描述了这种改良舌劈开手术方法的细节。此外,还简要回顾了有关舌甲状腺及其外科治疗的文献,以及1975年至1994年间在美国贝鲁特美国大学医学中心接受舌甲状腺手术的三名患者,这些患者采用的是颈部外侧切口。

相似文献

1
Lingual thyroid: tongue-splitting incision for transoral excision.舌甲状腺:经口切除的舌劈开切口。
J Laryngol Otol. 1995 Jun;109(6):520-4. doi: 10.1017/s0022215100130609.
2
Lingual thyroid: a new surgical approach--a case report.舌甲状腺:一种新的手术方法——病例报告
J Craniomaxillofac Surg. 1994 Oct;22(5):307-10. doi: 10.1016/s1010-5182(05)80082-4.
3
[Diagnosis and therapy of thyroid tissue of the base of the tongue].[舌根部甲状腺组织的诊断与治疗]
HNO. 1996 Jul;44(7):393-6.
4
Surgical management of lingual thyroid: a report of four cases.舌甲状腺的外科治疗:4例报告
J Oral Maxillofac Surg. 2000 Feb;58(2):223-7. doi: 10.1016/s0278-2391(00)90344-6.
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Combined cervical and intraoral approach to lingual thyroid: a case report.联合颈部和口腔内入路治疗舌甲状腺:一例报告
Head Neck. 1998 Jan;20(1):79-82. doi: 10.1002/(sici)1097-0347(199801)20:1<79::aid-hed13>3.0.co;2-k.
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Transposition of the lingual thyroid: A new alternative technique.舌甲状腺移位术:一种新的替代技术。
Head Neck. 1999 Aug;21(5):480-3. doi: 10.1002/(sici)1097-0347(199908)21:5<480::aid-hed15>3.0.co;2-a.
7
[Lingual thyroid: a rare disease resembling base of tongue neoplasm].[舌甲状腺:一种类似舌根肿瘤的罕见疾病]
Magy Onkol. 2002;46(4):347-9. Epub 2003 Feb 1.
8
Dysphonia associated with lingual thyroid gland and hypothyroidism: improvement after lingual thyroidectomy.与舌甲状腺及甲状腺功能减退相关的发音障碍:舌甲状腺切除术后改善
Ann Otol Rhinol Laryngol. 2011 Dec;120(12):775-9. doi: 10.1177/000348941112001202.
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[Ectopic thyroid: a report of a case and review of the literature].[异位甲状腺:一例报告并文献复习]
Rev Laryngol Otol Rhinol (Bord). 2011;132(3):181-4.
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Imaging of huge lingual thyroid gland with goitre.巨大甲状腺肿合并舌甲状腺的影像学表现。
Neuroradiology. 1998 May;40(5):335-7. doi: 10.1007/s002340050595.

引用本文的文献

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Advances in Lingual Thyroid Management Using Coblation Technology: A Case Series Study.使用低温等离子消融技术治疗舌甲状腺的进展:病例系列研究
Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):938-943. doi: 10.1007/s12070-023-04330-y. Epub 2023 Nov 17.
2
Tongue Base Ectopic Thyroid Tissue-Is It a Rare Encounter?舌根部异位甲状腺组织——罕见的发现?
Medicina (Kaunas). 2023 Feb 8;59(2):313. doi: 10.3390/medicina59020313.
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Management of Lingual Thyroid with Second Thyroid Anomaly: An Institutional Experience.伴有第二甲状腺异常的舌甲状腺的管理:机构经验
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):5329-5337. doi: 10.1007/s12070-021-02493-0. Epub 2021 Mar 27.
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Lingual Thyroid Excision with Transoral Robotic Surgery.经口机器人手术行舌甲状腺切除术
Case Rep Otolaryngol. 2015;2015:548582. doi: 10.1155/2015/548582. Epub 2015 May 7.
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Differentiated thyroid carcinoma in lingual thyroid.舌甲状腺中的分化型甲状腺癌。
Endocrine. 2016 Jan;51(1):189-98. doi: 10.1007/s12020-015-0593-y. Epub 2015 May 19.
6
Conservative management for lingual thyroid ectopic.舌甲状腺异位的保守治疗
Case Rep Otolaryngol. 2015;2015:265207. doi: 10.1155/2015/265207. Epub 2015 Feb 15.
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Ectopic lingual goiter treated by transoral robotic surgery.经口机器人手术治疗异位舌甲状腺
Acta Otorhinolaryngol Ital. 2013 Oct;33(5):343-6.
8
Coblation assisted excision of lingual thyroid.低温等离子射频消融辅助切除舌甲状腺。
Indian J Otolaryngol Head Neck Surg. 2010 Jun;62(2):108-10. doi: 10.1007/s12070-010-0029-1. Epub 2010 Sep 24.
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Parapharyngeal ectopic thyroid: the possible persistence of the lateral thyroid anlage. Clinical case report.咽旁异位甲状腺:甲状腺侧叶原基可能持续存在。临床病例报告。
Surg Radiol Anat. 2004 Aug;26(4):338-43. doi: 10.1007/s00276-004-0241-3. Epub 2004 May 8.