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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: wanghm0916@yahoo.com.cn
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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

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