Lingual thyroid: tongue-splitting incision for transoral excision

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

doi:10.1017/s0022215100130609

Cited by 31 publications

(29 citation statements)

References 14 publications

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“…Suppressive hormone therapy and radioactive iodine are the main medical treatment. Options for the surgical removal of LT include: Suprahyoid pharyngotomy to access to the posterior limits of the tumor, transoral exposure for direct dissection of the anterior margin of the lesion, transorally using a posterior midline tongue-splitting incision, peroral approach via a mandibular midline osteotomy, transoral median glossotomy or lesions may be approached either via the neck or transorally [7,9,18]. All of these procedures need tracheotomy or intensive cares unit for airway problem.…”

Section: Discussionmentioning

confidence: 99%

“…Treatment options includes: Surgical excision [3], transposition [4], radioiodine-131 therapy [5] and thyroid hormone replacement [6]. Surgical options for treatment of LT include tongue-splitting for trans-oral excision [7], preoral approach via a mandibular midline osteotomy [8], suprahyoid pharyngotomy [8], combined approach (Transoral and Transcervical approach) [9]. All of these approaches need tracheotomy and intensive care for airway.…”

Section: Introductionmentioning

confidence: 99%

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Coblation assisted excision of lingual thyroid

Rabiei¹,

Rahimi

Ebrahimi³

2010

Indian J Otolaryngol Head Neck Surg

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Coblation assisted excision of lingual thyroid

Rabiei¹,

Rahimi

Ebrahimi³

2010

Indian J Otolaryngol Head Neck Surg

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“…Various surgical access pathways have been proposed, including lateral pharyngotomy, transhyoid incision, and the transoral approach. 32 Several surgeons 26 recommend operating through the neck only in the presence of concomitant lesions or lymph node metastases. Oral access was used in more of the reported cases, but this route limits the surgical field and does not allow good control of the lingual artery.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, by performing this surgical procedure, whole-body scintigraphy during follow-up allows any relapses to be evaluated accurately and treated, if necessary, by radioiodine ( 131 I). Winslow and Weisberger 12 and Atiyeh et al 32 claim that it may be difficult to achieve complete excision of the lingual thyroid carcinoma if the margins of surgical resection have been infiltrated by the neoplasm. Therefore, we recommend ablation with high doses of ( 131 I) and sometimes radiotherapy.…”

Section: Discussionmentioning

confidence: 99%

Sclerosing Papillary Carcinoma Arising in a Lingual Thyroid: Report of a Case

et al. 2005

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Ectopic lingual thyroid tissue is an uncommon congenital anomaly. Tumors with identical pathological characteristics to those arising in thyroid tissue may be present in ectopic locations, but there are very few cases of malignant ectopic thyroid tumors reported in the literature. We present a review of this phenomenon and report a case of papillary carcinoma of the base of the tongue, located in ectopic lingual thyroid tissue, in a 30-year-old woman. The patient's presenting symptoms were dysphagia and oral bleeding, and we performed radical resection of the neoformation at the base of the tongue with part of the muscles of the floor of the mouth and the body of the hyoid bone, as well as total thyroidectomy. Histological examination revealed a "sclerosing" papillary carcinoma. The patient was treated with 131I and substitutive thyroid hormonal therapy. An ultrasonogram done 5 years later showed bilateral laterocervical lymph node recurrence, which was effectively treated with bilateral laterocervical lymphectomy.

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“…The surgical procedure can be performed by a number of techniques, including lateral pharyngotomy, trans-hyoid incision or trans-oral intervention [11], the lastnamed being the more frequently used approach reported in the literature. In addition to the poor visualization of large tumor masses that this access entails, the increased risk of bleeding from the lingual arteries should also be taken into account [74]. In a comparison of different surgical options, Prasad and Bhat [75] argued the trans-oral approach to be the easiest and to offer the best cost-benefit ratio.…”

Section: Thyroid Ectopy: Genetic Factors Epidemiology and Clinical mentioning

confidence: 99%

Differentiated thyroid carcinoma in lingual thyroid

et al. 2015

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The lingual thyroid is the most common form of thyroid ectopy. The ectopic tissue may display any disease affecting the thyroid, including malignancies, which have an estimated incidence of less than 1%. To date only 51 cases of lingual thyroid cancer were reported. Analogously to what observed in orthotopic thyroid, papillary carcinoma is the predominant histotype in lingual thyroid carcinoma. The higher frequency of lingual follicular thyroid carcinoma previously reported is possibly related to histological misclassification in some early reports, prior to the standardization of histological typing of differentiated thyroid carcinomas. Nonetheless, the frequency of the follicular histotype is not negligible, accounting for about one-third of the reported cases. Both natural history and prognosis of lingual thyroid carcinoma are poorly known, likely because of the rarity of the disease and the heterogeneity in the therapeutic approach. However, among the cases more recently reported, surgical excision of the mass, either alone or followed by radioiodine ablation, is the first-line approach, with only two cases treated by radioiodine alone. The nonsignificant rate of neoplastic transformation in lingual thyroid should encourage efforts to obtain a widely accepted consensus for the management of this rare condition, along with standardization of either diagnostic or therapeutic handling of malignancies arising in ectopic thyroid.

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Lingual thyroid: tongue-splitting incision for transoral excision

Cited by 31 publications

References 14 publications

Coblation assisted excision of lingual thyroid

Coblation assisted excision of lingual thyroid

Sclerosing Papillary Carcinoma Arising in a Lingual Thyroid: Report of a Case

Differentiated thyroid carcinoma in lingual thyroid

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