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Lingual thyroid: tongue-splitting incision for transoral excision

1995; Cambridge University Press; Volume: 109; Issue: 6 Linguagem: Inglês

10.1017/s0022215100130609

1748-5460

Bishara S. Atiyeh, Amir Abdelnour, F. Haddad, Hussein Ali Abed Ahmad,

Teratomas and Epidermoid Cysts

Abstract Two patients presenting to the Central Military Hospital of Beirut with symptomatic lingual thyroid are reported. I 131 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 tonguesplitting 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.