A Case of Lingual Thyroid Managed Using Transoral Endoscopic Surgery (TOES)

Authors

  • Yukiko Alyson M. Calimutan, MD Ilocos Training and Regional Medical Center https://orcid.org/0009-0007-3274-2366
  • Jesson Deo G. Cabrera, MD Ilocos Training and Regional Medical Center

DOI:

https://doi.org/10.32412/pjohns.v40i2.2411

Keywords:

lingual thyroid, ectopic thyroid, lingual thyroidectomy, transoral endoscopic surgery, tongue base surgery

Abstract

Objective: To report a case of lingual thyroid in an adult woman, excised via transoral endoscopic
surgery.

Methods:
Design: Case Report
Setting: Tertiary Government Training Hospital
Patient: One

Results: A 57-year-old woman consulted due to dysphagia and was initially treated for laryngopharyngeal reflux for a year. Thorough physical examination revealed a tongue base mass while imaging studies revealed the absence of thyroid in the anterior neck, and thyroid function tests revealed a hypothyroid state. The lingual thyroid was excised via transoral endoscopic surgery, confirmed as ectopic thyroid tissue on histopathology. There were no postoperative complications and the patient was discharged well, expressing high satisfaction with the resolution of her symptoms on follow-up at three months. She remains euthyroid on thyroxine replacement therapy.

Conclusion: The transoral endoscope-guided approach remains a valuable tool in the surgical armamentarium needed for the excision of lingual thyroids. In institutions where robotic surgery is not available, this technique is worth fostering, not only for lingual thyroids but also for lesions of the tongue base.

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Published

2025-11-07

How to Cite

1.
Calimutan YA, Cabrera JD. A Case of Lingual Thyroid Managed Using Transoral Endoscopic Surgery (TOES). Philipp J Otolaryngol Head Neck Surg [Internet]. 2025 Nov. 7 [cited 2026 May 23];40(2):43. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/2411

Issue

Vol. 40 No. 2 (2025): Philippine Journal of Otolaryngology Head and Neck Surgery

Section

Surgical Innovation and Instrumentation

License

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