Coblation assisted excision of lingual thyroid

Abstract

Lingual thyroid (LT) tissue is the most frequent ectopic location of the thyroid gland. We report 5 cases of symptomatic LT and discuss the new surgical approach. Transoral approach and coblation assisted excision of LT was performed. Postoperative follow-up for all patients was like as tonsillectomy management without tracheotomy. It's seem that this approach is much better than other such as tongue-splitting, transcervical transhyoid, pharyngotomy, with an infrahyoid approach, combined cervical and intraoral approach, Mandibular midline osteotomy.

Ectopic Lingual Thyroid

“…Lingual thyroid tissue is the most frequent ectopic location of the thyroid gland, although its clinical incidence is low with 1 in 100 000 cases occurring [ 4 ]. There are four groups of lingual thyroid: lingual, sublingual, thyroglossal, and intralaryngeal [ 5 ].…”

Transoral Robotic Resection of Lingual Thyroid

“…Terris et al [10] reported that transoral minimal invasive lingual thyroid resection decreased morbidity and duration of hospitalization compared to other open approaches. Coblation assisted lingual thyroid and lingual tonsil resection techniques were used and successful results were reported [11][12][13]. Leitzbach et al [12] reported successful results and low complication rates in 108 patients undergoing coblation assisted resection due to tongue root and lingual tonsil hypertrophy.…”

Lingual thyroid with hypothyroidism in a child

“…8,9 Lingual thyroid tissue is the most frequent ectopic location of the thyroid gland, although its clinical incidence is low with 1 in 100 000 cases occurring. 10 There are four groups of lingual thyroid: lingual, sublingual, thyroglossal, and intralaryngeal. Endocrine changes such as puberty, pregnancy, and menstruation can lead to an increase in gland size and symptoms.…”