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Management of Lingual Thyroid with Second Thyroid Anomaly: An Institutional Experience.
- Source :
-
Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India [Indian J Otolaryngol Head Neck Surg] 2022 Dec; Vol. 74 (Suppl 3), pp. 5329-5337. Date of Electronic Publication: 2021 Mar 27. - Publication Year :
- 2022
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Abstract
- Patients diagnosed with Lingual thyroid (LT) may have second thyroid anomaly (STA).Given rarity of dual ectopics/anomalies, standardized management recommendations are lacking. We aimed to describe our experience in management of LT with STA and suggest a management algorithm. We conducted a retrospectivechart review of patients diagnosed with LT between Jul-2013 and Dec-2019. Data regarding demographics, clinical presentation, endocrine-profile, associated STA treatment received, and outcomes were collected and analyzed. Eight patients (female-7 cases, male-1 case, adult-4 cases, children-4 cases, mean age-18.1 years, range 6-43 years) with LT were identified. Four(50%) cases had STA in addition to LT (thyroglossal cyst in two-cases, sublingual thyroid in one-case and sub-mental thyroid in one-case) and presented as neck mass. Diagnosis was confirmed with flexible-nasopharyngoscopy,ultrasonography,thyroid-scintigraphy and computed-tomography. Ectopic thyroid(s) was/were only functional thyroid gland with absence of normal thyroid in all cases. Two- cases had symptomatic for LT and were managed by coblation assisted excision of LT in one and I <superscript>131</superscript> ablation in one-case.All adult patients were hypothyroidand received thyroxin.All pediatric cases were euthyroidand received no surgical intervention for LT.Three patients required surgery for STA; Sistrunk surgery in two and excision of submental thyroid in one. All cases were asymptomatic. These results were utilized to suggest a management algorithm for LT with STA. LT patients with STA are more symptomatic and required more surgical interventions in compare to isolated LT. When appropriate, excision of STA with/without intervention for LT and thyroxin is advocated as the treatment modality of choice in LT patients with STA.<br />Competing Interests: Conflict of InterestThe authors declare that they have no conflict of interest.<br /> (© Association of Otolaryngologists of India 2021.)
Details
- Language :
- English
- ISSN :
- 2231-3796
- Volume :
- 74
- Issue :
- Suppl 3
- Database :
- MEDLINE
- Journal :
- Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India
- Publication Type :
- Academic Journal
- Accession number :
- 36742580
- Full Text :
- https://doi.org/10.1007/s12070-021-02493-0