Conservative Management for Lingual Thyroid Ectopic

Lingual thyroid gland is a rare clinical entity. The presence of an ectopic thyroid gland located at the base of the tongue may be presented with symptoms like dysphagia, dysphonia, and upper airway obstruction. We are introducing a case of an 8-year-old girl who had lingual thyroid that presented d...

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Bibliographic Details
Published in:Case reports in otolaryngology 2015-01, Vol.2015 (2015), p.1-4
Main Authors: de Moraes Manzano, Afonso Celso, Asprino, Luciana, Rangel Goulart, Douglas, Sigua-Rodriguez, Eder Alberto
Format: Article
Language:English
Subjects:
Airway management
Case Report
Drug dosages
Drug therapy
Dysphagia
Hormones
Hypothyroidism
Medical imaging
Neck
Older people
Patients
Sodium
Surgery
Ultrasonic imaging
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Summary:Lingual thyroid gland is a rare clinical entity. The presence of an ectopic thyroid gland located at the base of the tongue may be presented with symptoms like dysphagia, dysphonia, and upper airway obstruction. We are introducing a case of an 8-year-old girl who had lingual thyroid that presented dysphagia and foreign body sensation in the throat. The diagnostic was reached with clinical examination, thyroid scintigraphy with Tc 99m and ultrasound. A laryngoscopy was performed which confirmed a spherical mass at base of tongue. Investigation should include thyroid function tests. In this case we observed subclinical hypothyroidism. There are different types of surgical approaches for the treatment of this condition; however, the treatment with Levothyroxine Sodium allowed the stabilization of TSH levels and clinical improvement of symptoms in a follow-up of 2 years.
ISSN:2090-6765
2090-6773
DOI:10.1155/2015/265207