Lingual thyroid surgery

Six cases of lingual thyroid were discovered in five females and one male, ranging in age from 5 to 26 years. Four were noted during thyroglossal duct surgery, one because of a mass in the vallecula, and one incidentally found during a workup for possible hyperthyroidism. Only one patient was known to have a lingual thyroid preoperatively Author information: (1)Oral and Maxillofacial Surgery Clinic, Dental Faculty, University of Athens, Greece. Ectopic lingual thyroid is a rare developmental anomaly, presenting in the adult with obstructive symptoms during respiration, deglutition and speech A difficult intubation during surgery can have fatal consequences (1). The uncommon embryologic condition of an ectopic lingual thyroid can pose difficulties with intubation because of hemorrhaging and airway compression (2), especially when the presence of a lingual thyroid is unknown before intubation Lingual thyroidectomy was performed by transoral laser microsurgery in 4 patients, transoral robotic surgery in 3 patients, transoral surgery without microscopic assistance in 1 patient, and an open approach with a modified Sistrunk procedure in 1 patient. Total thyroidectomy was attained in 7 patients, and subtotal resection in 2

In conclusion, as in other tongue root surgeries, the use of robotic surgery also in lingual thyroid tissue excision decreases morbidity and duration of operation. Studies with larger case series and longer duration of follow-up are required in order to reach a definitive conclusion on this issue. Conflict of Interest Background: Treatment of the symptomatic lingual thyroid is typically accomplished through surgical resection using a transcervical approach, which carries a high risk of treatment-related morbidity and leaves a visible scar on the neck A Lingual thyroid is relatively rare. Of all ectopic thyroids 90 % are found to be Lingual thyroids. We report a case of 32 year old female who presented to us with history of mass on back of the tongue with history of dysphagia.The clinical, biochemical and radioisotope scanning confirms the diagnosis of lingual thyroid with hypothyroidism Lingual thyroid is a rare embryological abnormality that occurs as a result of failed descent of the thyroid gland. We report the case of a 39-year-old male with an incidental finding of a lingual thyroid during intubation for surgery for lower limb fractures. A sleep study indicated an RDI of 38.6, consistent with severe sleep apnoea Carcinoma arising in lingual thyroid is an extremely rare entity accounting for only 1% of all reported ectopic thyroids. Here, we report a case of carcinoma arising in lingual thyroid, which has been successfully managed by transoral resection and bilateral neck dissections. A lingual mass 4-cm in

The Lingual Thyroid: Its Diagnosis and Treatment JAMA

  1. Lingual thyroid may increase in size and cause obstructive symptoms, and functional decompensation or even malignant transformation may occur. These patients require a long-term follow-up. Levothyroxine therapy is important in reducing the volume of lingual thyroid mass, reserving surgery for cases with severe symptoms, complications or
  2. Most thyroid ectopia is clinically occult and discovered incidentally in patients undergoing surgery for another indication. Lingual thyroid is the most common type of clinically detected thyroid ectopia (90% of cases). In addition, most patients have no other thyroid tissue in the neck (complete thyroid ectopia)
  3. A lingual thyroid is a specific type of ectopic thyroid and results from the lack of normal caudal migration of the thyroid gland. NB: Location at the base of the tongue aside, the information in this article can relate to any ectopic thyroid tissue
  4. The patient with dysphagia received a 10-mCi therapeutic dose of iodine 131 before thyroxine replacement was started. The diagnosis and management of lingual thyroid is discussed. All patients need lifelong thyroxine suppression. Unenhanced computed tomographic scans have a diagnostic appearance due to the iodine content of the ectopic thyroid.
  5. Lingual Thyroid is a rare congenital anomaly usually asymptomatic, however, when too long causes obstructive symptoms, having your recommended treatment. The approach suppressive hormone should be first line but, in cases of bankruptcy, or if the clinical situation so warrants, the total surgical excision is indicated
  6. Imaging studies as ultrasound scan, C.T scan and Technetium (Tc99m) thyroid scan would be of great value establishing the diagnosis.3 The treatment options for lingual thyroid include: levothyroxine suppression therapy, radioactive iodine ablation and lingual thyroidectomy

8 Transoral robotic surgery (TORS) is a safe and feasible minimally invasive approach for excision of the lingual thyroid with larger three-dimensional point of view and easier manipulation due to. When the diagnosis of lingual thyroid is established, the treatment options are: suppression therapy with levothyroxine, radioactive iodine ablation or lingual thyroidectomy. The lingual thyroid is an infrequent abnormal development during embryogenesis of gland and its passage through the neck Treatment of a lingual thyroid depends on the sex and age of the patient as well as on the severity of the symptoms and the associated ulceration and hemorrhage. Patients with mild symptoms can be treated successfully by medical suppression, as presented in this paper [ 1

total thyroidectomy is an operation to remove all of thyroid gland. thyroid lobectomy or hemi thyroidectomy is to remove one lobe i.e. half of the thyroid gland. Both operations are generally carried out under general anaesthesia. Evaluation and Preparation for Surgery When the diagnosis of lingual thyroid is established, the treatment options are: suppression therapy with levothyroxine, radioactive iodine ablation or lingual thyroidectomy.The lingual thyroid is an infrequent abnormal development during embryogenesis of gland and its passage through the neck

Transoral robotic surgery appears to be a feasible, effective, and fast solution for lingual thyroid excision, with excellent short- and long-term surgical outcomes. Keywords lingual thyroid , surgery , robotic surgical procedures , review , case stud Lingual thyroid is a rare condition in which ectopic thyroid tissue is present in the base of tongue. We present a case of a 46-year-old patient with a symptomatic lingual thyroid that was successfully removed with minimal morbidity using transoral robotic surgery. The traditional treatment algorithm for lingual thyroid is reviewed Transoral robotic resection of lingual thyroid: case report - Volume 127 Issue 10 Skip to main content Accessibility help We use cookies to distinguish you from other users and to provide you with a better experience on our websites

Lingual Thyroid Ectopia: Diagnostic SPECT/CT Imaging and Radioactive Iodine Treatment Arpit Gandhi,1 Ka Kit Wong,1,2 Milton D. Gross,1,2 and Anca M. Avram1 Background: Lingual thyroid is a rare abnormality of thyroid development that is usually treated conservatively with levothyroxine replacement In particular, thyroid tissue at the base of tongue, termed lingual thyroid, is the most common type of thyroid ectopia and accounts for 90% of all reported cases. Despite being the most common presentation, lingual thyroid remains a rare clinical entity with an incidence of 1 per 100,000 individual [3] Michael P. Bengoechea-Beeby, M. Carmen Reguilón-Rivero, Francisco Giraldo-Ansío, César Casado-Pérez, Concomitant lingual thyroid and squamous carcinoma of the base of the tongue: Report of a case, Journal of Oral and Maxillofacial Surgery, 10.1016/0278-2391(94)90349-2, 52, 5, (494-495), (1994) Lingual thyroid glandular tissue is the most common, situated at the base of the tongue just behind the foramen caecum. Intralingual thyroid masses have been reported to occur in approximately 10% of autopsies, although they are clinically relevant in only 1 : 4000 patients with thyroid disease

Securing Thyroidectomy / Parathyroidectomy Endotracheal

Lingual thyroid is uncommon and patients undergoing surgery is still uncommon but when needed can be easily dealt with, by the above described suprahyoid approach. The presenting fea-tures of lingual thyroid include pain, bleeding,dysphonia, dysphagia, and fullness in the throat. The surface of lingual thyroid is usually smooth and vascular5. the presence of a lingual thyroid is unknown before intubation. This case study presents a patient in whom incidental detection of a lingual thyroid during thyroid scintigraphy provided valuable information to inform later breast cancer surgery. CASE HISTORY A 67-y-old woman had a past history of throat discomfort suspected to be a lingual thyroid A patient with a large lingual thyroid, who also required a mandibular set-back osteotomy, is presented. The preoperative, intraoperative, and postoperative considerations and management of this patient as they relate to the lingual mass and its possible effects on the airway are discussed Conclusions Transoral robotic surgery appears to be a feasible, effective, and fast solution for lingual thyroid excision, with excellent short- and long-term surgical outcomes. View Show abstrac Transoral robotic surgery (TORS) is a safe and feasible minimally invasive approach for excision of the lingual thyroid with larger three-dimensional point of view and easier manipulation due to freedom of motion of robotic instruments. 9, 10 The predominant risk with transoral robotic lingual thyroid resection is lingual artery injury

Lingual thyroid: a new surgical approach--a case report

of patients with lingual thyroids are hypo-thyroid. Therefore patients with lingual thyroids should have a TSH level deter-mined prior to surgery. the midline, s Does the TGDR contain thyroid cancer? strap muscles, and expose the cyst Thyroid cancer occurs in only about 1% of operated TGDRs. A solid component and Transoral surgery without microscopic assistance and open resection had longer operative times (206 and 246 minutes, respectively). Conclusions: Surgical resection of lingual thyroid glands achieves significant improvement in patient symptoms, with low rates of recurrence

131 I can be considered as a safe and effective therapeutic alternative in the long-term management in those patients with symptomatic lingual thyroid with special anatomical difficulties and in whom surgery is contraindicated or refused by the patient Lingual Thyroid; Transoral Robotic Surgery (TORS); Da Vinci Si Robot. Introduction. Ectopic thyroid is a rare developmental anomaly and defined as the presence of thyroid tissue in unusual locations other than usual pre-tracheal location. It is the most frequent form of thyroid dysgenesis, accounting for 48-61% of the cases [1] Best lingual thyroid hospital in Malappuram. Check doctor list, patient reviews and feedback, consultation charges, address, contact number of top lingual thyroid hospitals in Malappuram. Book appointment online and get upto 25% off on OPD fee of robotic surgery also in lingual thyroid tissue excision decreases morbidity and duration of operation. Studies with larger case series and longer duration of follow-up are requiredinordertoreachade nitiveconclusiononthisissue. Conflict of Interests e authors declare that there is no con ict of interest

Incidental Lingual Thyroid Informs Surgery Journal of

Lingual thyroid: tongue-splitting incision for transoral excision - Volume 109 Issue MR IMAGING OF THE LINGUAL THYROID Fig. 1. Lingual thyroid gland in a 69-year-old man. a) Sagittal T1WI (700/13/2) demonstrates a mass lesion ( ) of signal intensity greater than the muscle with well-defined margins in the midline of the base of the tongue. Additional mass (¨) of similar MR feature is seen in the midline just below the hyoid bone Lingual thyroid is an ectopic thyroid which is an embryological abnormality that results from the failure migration of the thyroid gland from the primitive foregut to the normal thyroid position at the neck.[1] There are no gold standards for lingual thyroid therapy. Surgery is not always needed. Surgery is only done to eliminate symptoms.

Lingual Thyroidectomy: The Mayo Clinic Experience With

An ectopic thyroid gland is caused by failure of descent of the thyroid gland anlage early in the course of embryogenesis. The lingual region is the most common ectopic location of the thyroid gland, and this anomaly can cause airway obstruction by compressing the epiglottis Ectopic thyroid gland may be detected at any place between foramen caecaum and normal thyroid localization due to inadequacy of the embryological migration of the thyroid gland. It has a prevalence varying between 1/10.000 and 1/100000 in the community. Usually follow-up without treatment is preferred except for obstructive symptoms, bleeding, and suspicion of malignity The pink raised lesion in the midline of the base of the tongue in this patient is a lingual thyroid. Significant expansion of a lingual thyroid may occur at puberty and in pregnancy. tags: Lingual thyroid Thyroid ENT eLearning ent atla Lingual thyroid is a rare developmental anomaly originating from aberrant embryogenesis during the passage of the thyroid gland through the neck. Prevalence of this condition is reported to be between 1 per 100,000-300,000 persons and occur one in 4,000- 8,000 patients with thyroid disease [2] Ectopic Lingual thyroid (ELT) is a rare developmental anomaly, caused due to aberrant embryogenesis during the descent of thyroid gland from base of tongue to the neck. Lingual thyroid is the most common presentation of ectopic thyroid tissue. Lingual thyroid (LT) may presen

Ectopic Lingual Thyroid Ibrahimov, Metin MD ; Sari, Elif MD ; Yener, Murat MD ; Yilmaz, Mehmet MD ; Karaman, Emin MD Journal of Craniofacial Surgery: March 2013 - Volume 24 - Issue 2 - p 684-68 Lingual thyroid carcinoma: a case report and review of the literature. Thyroid 2001; 11:1191. Wildi-Runge S, Stoppa-Vaucher S, Lambert R, et al. A high prevalence of dual thyroid ectopy in congenital hypothyroidism: evidence for insufficient signaling gradients during embryonic thyroid migration or for the polyclonal nature of the thyroid gland Lingual thyroid • Embryologically, the thyroid grows from the third and fourth branchial arch and descends from the foramen caecum towards the neck. • If its development is arrested, a lingual thyroid may result. • This can be diagnosed by thallium or technetium scan • Furthermore, it may bleed excessively if biopsy is attempted Myringoplasty (surgery confined to drumhead and donor area) 69631 Tympanoplasty without mastodi ectomy (includni g canalpal sty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chani reconstructoi n : 69632 Overview. Lingual thyroid and thyroid hemiagenesis are rare thyroid developmental abnormalities. These conditions can be present with other thyroid diseases, whether functional ones involving abnormal thyroid hormone levels, or structural ones such as presence of thyroid nodules, however the association with thyroid cancer and lingual thyroid or thyroid hemiagenesis is rare

Thyroid surgery can also cure certain forms of thyroid gland overactivity associated with goiter or nodules. Thyroid surgery almost always requires hospitalization and anesthesia. The incision causes pain for a day or two after surgery, and it leaves a scar, which is usually relatively inapparent after a year Thyroid gland is the largest endocrine gland and thyroid diseases are common health problems especially in females. Thyroid disorders like goitre, adenoma and carcinoma can be manipulated mainly through surgical interventions. A thorough and in depth knowledge of thyroid anatomy is essential for safe thyroid surgery to minimise postoperative complications 60260 Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility Only : $1,113 $2,387 $5,086 60270 Inpatient only, not reimbursed for Thyr oidectomy, including substernal thyroid; sternal split or trans thoracic approach Facility Only : $1,397 hospit al outpatient or AS

Lingual Thyroid Excision with Transoral Robotic Surger

An ectopic thyroid can occur at any location along the path of migration. The commonest type of ectopic thyroid is a lingual thyroid, lying between the circumvalate papillae and the epiglottis. This type has an incidence of one in 3000 to 10 000 Nearly all (90%) of ectopic thyroid glands are found at the back of the tongue (lingual thyroid). The prevalence of lingual thyroid is one in 100,000 and occurs more often in females than males (3. The most common thyroid location in the ectopic cases is the Lingual thyroid. Incomplete migration can lead to a high cervical thyroid, and excessive movement can lead to a superior mediastinal or even paracardiac location. Studies have shown that more than 70% of lingual thyroid cases correlate with the absence of normal cervical thyroid. This.

Keywords: Ectopic thyroid, Lingual thyroid, Airway obstruction, Surgery, Transposition Background An ectopic thyroid gland is caused by failure of descent of the thyroid gland anlage early in the course of em-bryogenesis. The lingual region is the most common ectopic location of the thyroid gland, and this anomal the microcalci cations present in the lingual thyroid, and her distrust in the monitoring process due to her previous experiences with thyroid ultrasounds, she elected for lingual thyroidremoval. F : Sagittal CT neck revealing a lingual thyroid without a thyroidinitsnativeposition. Lingual thyroid excision via transoral robotic surgery

The lingual thyroid is an established developmental abnormality caused by a failure of descent of the thyroid gland or remnants, from the foramen cecum to the pretracheal area. Malignant transformation of ectopic lingual thyroid is rare with just 41cases reported in the literature. Only 8 of these cases were papillary carcinoma In order to reduce morbidity and eliminate visible scarring, this study utilized transoral robotic surgery (TORS) in performing lingual thyroidectomy. Methods: Between October 2009 and October 2010, three patients with symptomatic lingual thyroid were enrolled in this prospective study The last two times, I have been hyperthyroid and just want to rule out functional problems with lingual thyroid. Also having difficulty catching my breath and hoarseness. There is a shortage of endocrinologists in my city, and most of them have never treated someone with a lingual thyroid, just read about it in the literature Although it is not a commonly performed procedure, ablation with iodine-131 appears to be a safe and effective therapeutic alternative to surgery in patients with a benign symptomatic lingual thyroid @article{osti_5841558, title = {Lingual thyroid. Diagnosis and treatment}, author = {Kansal, P and Sakati, N and Rifai, A and Woodhouse, N}, abstractNote = {We describe four patients who presented with a lingual thyroid condition (three females and one male, aged between 7 and 22 years). Only the male patient was symptomatic with mild dysphagia and hemoptysis

Conclusion: Excised swelling base of tongue - LINGUAL THYROID. Results TORS of ectopic lingual thyroid tissue was successfully performed with excellent functional outcomes and with decreased operating time than conventional tongue base surgeries. Less than 5 ml blood loss during surgery and stay in the hospital was less than 24 hours (Figure 4) The treatment options for lingual thyroid include: clinical surveillance, levothyroxine suppressive therapy, radioactive iodine ablation and surgery. Because of the paucity of data, there is no real consensus about the proper management of ectopic thyroid. 2 Observation is the best approach for asymptomatic patients

A novel technique for the resection of the symptomatic

Lingual thyroid-conservative management or surgery? A case

Lingual thyroid: an unusual and surgically curable cause

  1. Lingual thyroid. The most frequent location of ectopic thyroid tissue is at the base of tongue, in particular at the region of the foramen cecum, accounting for about 90% of the reported cases , although lower rates (47%) have also been reported by others (5, 6).The mean age at presentation is about 40.5 years, ranging from birth to 83 years
  2. title = Huge lingual thyroid - Case report, abstract = Lingual thyroid is a rare developmental anomaly defined as the presence of thyroid tissue in the midline of the tongue base between the circumvallate papillae and the epiglottis. A 72-year-old woman presented with progressive dysphagia and occasional dyspnea of 3 months duration
  3. The most visible symptom of a thyroglossal duct cyst is the presence of a lump in the middle of the front of your neck between your Adam's apple and your chin
  4. Surgical Annotation. The superior thyroid, lingual, and facial arteries originate as separate branches in 50 to 80%; a lingulofacial trunk exists in 18 to 31%, a thyrolingual trunk in 1 to 18%, and a thyrolingulofacial trunk in about 2.5% (). 8,9,11,12 The carotid bifurcation is commonly located at the superior border of the thyroid cartilage.The distance from the origin of the superior.
  5. Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Lingual Thyroid. link. Bookmarks (0) Head and Neck. Diagnosis. Oral Cavity. Congenital Lesions. Lingual Thyroid.
  6. Lingual Thyroid (failure of descent) Verification that lingual mass is thyroid by its ability to trap I123 Lingual thyroid Chin marker Significance: May be only thyroid tissue in body (~70% of time), removal resulting in hypothyroidism; treatment consists of TSH suppression to shrink siz

Transoral videolaryngoscopic surgery for papillary

The cat recovered uneventfully from the surgery, clinical signs resolved, and the cat remained euthyroid with no recurrence of the mass as of 8 months after surgery. Clinical Relevance—This is the first known reported case of ectopic lingual thyroid tissue in a male cat. In humans, the most common site of ectopic thyroid tissue is at the base. When a lingual thyroid is found, the usual thyroid bed location must be evaluated because orthotopic thyroid tissue will be absent 70%-80% of the time (2,6), and subsequent resection of the ectopic thyroid tissue will render the patient athyroid Thyroid Cancer. UCSF is a major referral center for endocrine surgery in the region. Surgeons at UCSF perform a high volume of thyroid surgeries, including some of the most complex and technically challenging cases, with generally excellent results. In addition, we now offer a scarless thyroidectomy to select thryroid cancer patients. Rarely, the thyroid fails to descend into the neck. Such a patient presents with a lump at the foramen caecum of the tongue. This is termed a lingual thyroid, and may represent the sum total of thyroid tissue, or may be a remnant that failed to descend 21 Ectopic thyroid tissue The Abnormal Scan May occur in Neck (lingual thyroid), pelvis or retrosternally in medastinum A thyroid image showing no functioning thyroid tissue in the neck, but an area of avid tracer accumulation lying in the midline which corresponds to the posterior part of the tongue (lingual thyroid) An Atlas of Clinical.

Lingual thyroid diagnosis the diagnosis and management

(cysts) or ectopic thyroid tissue (lingual thyroid). • A pyramidal lobe is frequently present. • Agenesis of one thyroid lobe, almost always the left, may occur. • The normal thyroid weighs 15-25 g and is attached to the trachea by loose connective tissue. • highly vascularized organ, blood supply principally from the superio MCQs on Diseases of Salivary Glands and Thyroid Glands - General Surgery MCQs A. Inferior alveolar nerve B. Lingual nerve C. Hypoglossal nerve D. Mandibular branch of facial nerve # In case of parotid swelling, the diagnostic procedure of choice is: A.

Lingual Thyroid - an overview ScienceDirect Topic

Lingual thyroid Radiology Reference Article

  1. Ectopic lingual thyroid with vascular anomalies Maria Rita Bianco, Alessandro La Boria, Teresa Franco, Pierpaolo Ferrise, Eugenia AllegraDepartment of Otolaryngology-Head and Neck Surgery, University of Catanzaro, Catanzaro, ItalyBackground: Lingual thyroid represents 90% of ectopic thyroid tissue localizations. The first case was described by Hickman in 1869
  2. However, surgery is considered when a mass produces obstructive symptoms or bleeding, demonstrates a sudden increase in size, or if malignancy is suspected. 2, 3, 6 In patients being considered for surgical excision, it is essential to establish if any normal thyroid tissue is present elsewhere, because removal of a lingual thyroid will in most.
  3. A thyroid nodule is a lump that can develop in your thyroid gland. Learn about potential causes of thyroid nodules, from benign tissue overgrowth to cancer
  4. ant group. We present a.
  5. The ectopic thyroid tissue (ETT) is a rare phenomenon with an overall prevalence of 1 in 100,000-300,000 in general population, and 1 in 4,000-8,000 in patients with a pre-existing thyroid disorder .ETT is an unusual condition, generally resulting because of problems of embryologic growth and additionally due to the unforeseen post-operative migration of normal thyroid cells
  6. A post operative Thyroid scan & Biopsy confirmed the diagnosis of Lingual thyroid. Thyroid functions showed Hypothyroidism. The TSH level was 98.1 µIU/ml and T3 & T4 levels were 0.1 ng/ml & 2.3 µg/dl respectively. Conclusion: Ectopic Thyroid is a rare anomaly with Lingual thyroid accounting for majority of cases
  7. They release them prior to staining. Maybe stop trying for us. 406-771-6734 Need electric fence for the need. Original cream cheese. (909) 974-2208 Wi something yet. Seaside and the son spend the day. 407-307-3966 More permission consistency

Lingual Thyroid: Diagnosis and Treatment JAMA Internal

  1. Abstract: The presented work describes the thyroid pathologies and the nuclear-medical diagnostic approach, in order to obtain a differential diagnosis and the monitoring of various neoplasms; specifically, it describes the importance of radiometabolic treatment with iodine 131, after thyroidectomy surgery
  2. Lingual Thyroid-Literature Review Insight Medical Publishin
  3. Lingual thyroid: A case report - ScienceDirec
  4. (PDF) Lingual Thyroid Excision with Transoral Robotic Surger
Procedimientos / Casos - Pacientes - Servicio de CirugíaCongenital Cysts Involving Airway (Vallecular CystTiroides lingual: un nuevo abordaje quirúrgicoSALIVARY GLAND SURGERY - Dr John Chaplin Head and Neck SurgeonIncidental finding of papillary thyroid carcinoma on CTPin on mouth soresThyroid final [part 1]Thyroid Nodule Picture & CT Imaging * Otolaryngology Houston
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