Int J Thyroidol.  2022 Nov;15(2):116-120. 10.11106/ijt.2022.15.2.116.

Transoral Robotic Lingual Thyroidectomy

• Seo W
• Ji YB
• Tae K
• Song CM

• KMID: 2536497
• DOI: http://doi.org/10.11106/ijt.2022.15.2.116

Abstract

Base of tongue is the most common location of ectopic thyroid. Conservative management is the mainstay of treatment, but surgical treatment is required when complications occur due to the airway obstruction, dysphagia, or hemorrhage. An 18-year-old male with dyspnea and voice change was diagnosed with lingual thyroid, and the symptoms were refractory after several months of thyroid hormone replacement. The lingual thyroid gland was surgically excised using transoral robotic surgery (TORS). Although there are many surgical approaches for the resection of the lingual thyroid, TORS has advantages of using the natural orifice, and leaving no scar on the cervical area. Herein, we report a case of TORS-assisted lingual thyroidectomy with a literature review.

Keyword

Ectopic thyroid; Lingual thyroid; Transoral robotic surgery; Lingual thyroidectomy

Figure

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  Fig. 1 Initial laryngoscopy of a lingual thyroid with engorged vessels.

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  Fig. 2 Round mass in the base of tongue with hetero-geneous, contrast-enhance in axial image of CT (2.8× 2.7×2.7 cm sized).

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  Fig. 3 Transoral robotic surgery assisted lingual thyroidectomy. (A) Surgical view after setting of Maryland bipolar forceps and monopolar spatula. (B) Midline incision with monopolar spatula to evaluate the depth of lingual thyroid gland (C) Surgical view after excision of lingual thyroid gland.

Reference

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