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Lingual thyroid treatment

The patient with dysphagia received a 10-mCl therapeutic dose of iodine 131 before thyroxine replacement was started. The diagnosis and management of lingual thyroid is discussed. All patients need lifelong thyroxine suppression. Unenhanced computed tomographic scans have a diagnostic appearance due to the iodine content of the ectopic thyroid tissue The diagnosis and management of lingual thyroid is discussed. All patients need lifelong thyroxine suppression. Unenhanced computed tomographic scans have a diagnostic appearance due to the iodine content of the ectopic thyroid tissue.}, doi = {10.1001/archinte.1987.00370110174028}, url = {https://www.osti.gov/biblio/5841558}, journal = {Arch. Intern With ectopic thyroid tissue, specifically a lingual thyroid, the protocol for treatment, including the dose, time and length of treatment, is unclear in the literature. The effectiveness of treatment to eliminate the symptoms and the length of treatment before moving on to another treatment modality is also unknown Only one patient was known to have a lingual thyroid preoperatively. Thyroid medication caused the regression of the lingual masses and no surgery was necessary for these. It is suggested that all midline neck masses be scanned preoperatively after administration of sodium iodide I 131, sodium iodide I 125, or sodium pertechnetate Tc 99m

The treatment of lingual thyroid can be both surgical and non-surgical. The surgical procedure includes excisions and extracting the lump. It can also include the repositioning of the lump through a surgical process to stop any obstruction caused by the lingual thyroid Treatment of this disorder includes the use of exogenous thyroid hormone to correct the hypothyroidism and to induce shrinkage of the gland. When symptoms of obstruction or bleeding appear, ablative therapy by means of surgery or radioiodine is warranted Treatment and prognosis Often no treatment is required. In cases where surgical excision is being contemplated, it is essential to establish if there is any normal thyroid tissue elsewhere (usually not the case) as removal of the lingual thyroid will in most cases render the patient profoundly hypothyroid 2

Lingual thyroid. Diagnosis and treatmen

Introduction: The treatment of lingual thyroid is controversial and should be individualized. Options include hormonal replacement, surgery in the presence of bleeding and obstruction of the. Herein, we describe an unusual case of thyrotoxicosis related to a nodular lesion in a lingual thyroid. Treatment consisted in restoration of a euthyroid state with thionamide followed by surgical removal of the ectopic gland. The underlying molecular cause of the ectopic lingual thyroid and the toxic adenoma in this case could not be identified

Lingual thyroid. Diagnosis and treatment (Journal Article ..

The lingual thyroid may remain asymptomatic but may become symptomatic during increased demand of the hormones by the body. The patient may present with symptoms like dyspnoea, dysphonia, snoring, sleep apnoea and sensation of foreign body. Sometimes the mass may get ulcerated leading to haemorrhage and haemoptysis (17) Lingual Thyroid is a rare congenital anomaly usually asymptomatic, however, when too long causes obstructive symptoms, having your recommended treatment. The approach suppressive hormone should be first line but, in cases of bankruptcy, or if the clinical situation so warrants, the total surgical excision is indicated Additionally, levothyroxine therapy should be initiated after surgical excision as the lingual thyroid is the only functioning thyroid tissue found in 70% of these patients.11 4 Treatment was performed with a partial endoscopic removal and an external cervical approach, followed by substitutive hormone treatment, respectively. Diagnostic procedures and therapeutic options are discussed and a review has been made of reports of lingual thyroid appearing in the literature

Lingual Thyroid: A Systematic Review of Hormonal

Lingual Thyroid as a Cause of Primary Hypothyroidism: Congenital Hypothyroidism in the Neonatal Period and Beyond Indrajit Majumdar, MBBS and Lucy D. Mastrandrea, MD, PhD Clinical Pediatrics 2010 49 : 9 , 885-88 goiter and neoplasms.9,10 Treatment of the lingual thyroid depends on its size, the presence or absence of symptoms, and complicating factors such as ulcération, hemorrhage, or malignancy. We would advise that all patients should have lifelong thyroxine suppression, even those who are asymp¬ tomatic and who have initially small lingual thyroid, as thi TREATMENT OF A LINGUAL THYROID. QUESTION--A young 23 years old girl diagnosed to have Functional ectopic lingual thyroid with Overt Hypothyroidism with absence of tracer uptake in the thyroid region on Tc99 scintigraphy in the year 2004. Since she has been on 125mcg Thyroxine replacement A lingual thyroid is an asymptomatic nodular mass of the posterior lingual midline, usually less than 1 cm in size but sometimes reaching more than 4 cm. Surgical excision or radioiodine therapy are effective treatments for lingual thyroid, but no treatment should be attempted until an iodine radioisotope scan has determined that there is adequate thyroid tissue in the neck LINGUAL THYROID* By H. W. SCHWARTZ (Halifax, Nova Scotia, Canada) A WELL-DEVELOPE femalD e aged 42, a school teacher by profession, con- sulted me April 6th, 1946, for hoarseness and discomfort in breathing which she had been aware of for about six months

The Lingual Thyroid: Its Diagnosis and Treatment JAMA

Lingual Thyroid Read More Doctors Prescribe

Ectopic thyroid gland at the base of the tongue, referred to as lingual thyroid, is a rare congenital anomaly resulting from the incomplete descent of the gland during embryogenesis. 1 The prevalence of lingual thyroid is reported as 1:100 000-1:300 000 and it is seven times higher in females. 2 Treatment depends on the clinical presentation. . Asymptomatic patients require thyroxine. hypothyroid cases have sublingual thyroid i.e. out of 121 cases of hypothyroidism 49 cases had sublingual thyroid examined by ultrasonography(18). No treatment is required if the patient is euthyroid. The planning for the treatment of choice depends on the general conditions of patient, the size of the lesion, an Six cases of lingual thyroid were discovered in five females and one male, ranging in age from 5 to 26 years. Four were noted during thyroglossal duct surgery, one because of a mass in the vallecula, and one incidentally found during a workup for possible hyperthyroidism. Only one patient was known to have a lingual thyroid preoperatively After treatment, Lingual thyroid reduced in size and patient improved symptomatically. Introduction. Lingual thyroid is a rare anomaly with a incidence of 1 in 3000 of the thyroid cases seen with overall prevalence of 1 in 100,000. Lingual thyroid represents most common location of functioning ectopic thyroid tissue

Lingual thyroid

When the diagnosis of lingual thyroid is established, the treatment options are: suppression therapy with levothyroxine, radioactive iodine ablation or lingual thyroidectomy [5].The lingual thyroid is an infrequent abnormal development during embryogenesis of gland and its passage through the neck a lingual thyroid and surgical treatment is presented. KEYWORDS: Lingual Thyroid; Ectopic Thyroid; Hypothyroidism. INTRODUCTION Among the largest endocrine glands in the body is the thyroid. Conventionally this gland is at same height as cricoid cartilage, sometimes it presents with ectopic tissue, may be from the tongue and even to the diaphragm The Sublingual Gland is under the tongue, and because there is more saliva, the pill liquifies and results in a faster administration of thyroid hormones to your blood via the tiny capillaries. The Buccal Gland is located in the mucous membrane which lines the cheeks, and because there is less saliva, it produces a slightly slower. Aberrant linguistic thyroid may be the only operating thyroid tissue. Cryosurgery and the CO 2 laser have made lingual tonsillectomy a safe and easy procedure. An abscess of a linguistic tonsil ought to be drained under basic anesthesia, and linguistic thyroid ought to be treated conservatively unless it produces obstructive symptoms

Dentistry lectures for MFDS/MJDF/NBDE/ORE: Developmental

Lingual thyroid Radiology Reference Article

Download Citation | Lingual thyroid: Iodine 131: A viable treatment modality revisited | Lingual thyroid has a reported incidence between 1:10 and 1:100,000. When symptomatic, patients may present. Abstract. Twelve patients with lingual thyroid are reviewed. Two of these patients had a follicular carcinoma in the ectopic gland and both are well 5 and 16 y Follicular variant of papillary carcinoma arising from lingual thyroid, Ear Nose and [11] R.L. Plant, Radiofrequency treatment of tonsillar hypertrophy, The Laryngoscope Throat Journal 88 (2009) 944. 112 (2002) 20-22. [7 Occasional patients with parathyroid tissue associated with their lingual thyroid have developed tetany after their inadvertent removal. It is suggested that no treatment should be attempted until an 131 iodine radioisotope scan has determined that there is adequate thyroid tissue in the neck and you have had this done

(PDF) Lingual thyroid: A case repor

  1. To our knowledge, this is the first case of lingual thyroid with hyperthyroidism which has been successfully treated with radioiodine alone and followed by thyroid hormone replacement as the patient developed mild hypothyroidism after radioiodine treatment
  2. Lingual Thyroid Ectopia: Diagnostic SPECT/CT Imaging and Radioactive Iodine Treatment Arpit Gandhi,1 Ka Kit Wong,1,2 Milton D. Gross,1,2 and Anca M. Avram1 Background: Lingual thyroid is a rare abnormality of thyroid development that is usually treated conservativel
  3. The treatment strategy for lingual thyroid is a contro-versial issue. In general, for asymptotic cases with nor-mal thyroid status, patients can be monitored with frequent follow-ups. In case of hypothyroidism, like in our patient, thyroid replacement therapy is initiated
  4. The treatment options for lingual thyroid include: clinical surveillance, levothyroxine suppressive therapy, radioactive iodine ablation and surgery. Because of the paucity of data, there is no real consensus about the proper management of ectopic thyroid.2 Observation is the best approach for asymptomatic patients
  5. Lingual thyroid can be found inci-dentally in an asymptomatic patient or present with dysphagia, dysphonia, upper airway obstruction, hem-orrhage, or hypothyroidism.[5] Asymptomatic patients do not require therapy, surgical intervention is rarely indicated for lingual thyroid; however, treatment is indicated when severe obstructive symptoms are.

Lingual thyroid and hyperthyroidism: a new case and review

  1. Usually, lingual thyroid is the only thyroid gland so that the patient can develop hypothyroidism.[2-3] This patient was initially suspected for base tongue tumor. The patient didn't complaint other abnormality, no complaint of dysphagia, dyspnoea, hoarseness of voice or any hypothyroid symptom
  2. Thyroid hormone measurement revealed clinical hypothyroidism with elevated anti-thyroid antibodies, neck ultrasonography showed a small tissue with the characteristic of Hashimoto thyroiditis, while the scintigraphy demonstrated only a lingual thyroid. Treatment consisted in L-thyroxina replacement to the euthyroid state
  3. Lingual Thyroid. List of authors. Tse-Ya Yu, M.D., and Tien-Chun Chang, M.D. March 8, 2012. N Engl J Med 2012; 366:e15. DOI: 10.1056/NEJMicm1112306. A 45-year-old woman presented with long.
  4. What is Lingual thyroid? Thyroid agenesis (or thyroid dysgenesis) is a cause of congenital hypothyroidism where the thyroid is missing, ectopic, or severely underdeveloped.. It should not be confused with iodine deficiency, or with other forms of congenital hypothyroidism where the thyroid is present but not functioning correctly.. Congenital hypothyroidism caused by thyroid dysgenesis can be.
  5. The treatment of lingual thyroid is controversial and should be individualized. Options include hormonal replacement, surgery in the presence of bleeding and obstruction of the airway and the digestive tract, and radioisotope therapy. Clinical case. 8-year-old girl presenting with discomfor
  6. We carried out a systematic review of surgical treatments of lingual thyroid, according to the PRISMA method. We conducted our literature search in PubMed and Ovid. Data was collected concerning patient demographics, tumor characteristics, types of surgery performed, and specific intra- and postoperative outcomes of each procedure
  7. The first published case of lingual thyroid was reported by Hickman in 1869. Reference Hickman 14 The case involved a lingual thyroid in a 16-hour-old infant who died from asphyxiation caused by the lingual goitre. Lingual thyroid has subsequently been extensively reported in the literature, but virtually exclusively in children and young adults

Ectopic lingual thyroid with vascular anomalie

A lingual thyroid gland can manifest as dysphagia, dyspnoea or dysphonia. 1 Acute infectious thyroiditis related to lingual thyroid gland is rare, 4 and in the medical literature, it has been described very sparingly. The typical clinical symptoms of acute infectious thyroiditis are febrile temperature and painful thyroid gland with local redness The lingual thyroid gland is the thyroid tissue seen in the base of the tongue caused due to the embryonic developmental anomaly of the thyroid gland tissue. Treatment of Anomalies. The treatment for cyst is excision and the normal recovery occurs. The treatment-related to the ectopic lingual thyroid is also excision and it becomes mandatory.

To treat up lingual thyroid, the best and most recommended way is radioiodine therapy or surgical excision. In addition to these solutions, no any other way can help patients who suffer from lingual thyroid. Using radioisotope iodine scan, doctors get determined about the collected thyroid tissue in patient's neck. The lingual thyroid usually. Approach to lingual thyroid tissue may vary according to clinical ndings, but it is still debatable. Although asymptomatic cases can be followed without management for probable complications, in symptomatic cases, there are alternative treatment methods. Even though thyroid suppressive treatment conducted with the adminis-tration of exogenous. Background: Lingual thyroid is a rare abnormality of thyroid development that is usually treated conservatively with levothyroxine replacement. Rarely, it becomes large enough to cause obstructive symptoms in the oral cavity, requiring definitive treatment. Patient Findings: This study reports on three patients with lingual thyroid treated with radioactive iodine-131 (131 I) with successful. Thyroid presentation. 1. THYROID GLAND. 2. C/P : tongue swelling impaired speech dyshpagia respiratory obestruction A- lingual thyroid INVESTIGATIONS : thyroid scan C.T. neck lateral view showing Lingual thyroid TTT. : IF only thyroid tissue medical ttt. & if failed surgical excision. 4 A thyroid nodule is an unusual growth (lump) of thyroid cells in the thyroid gland. The thyroid is part of the endocrine system, which is made up of glands that secrete various hormones into the bloodstream. The thyroid is a butterfly-shaped organ (or gland) that is located on the front of the neck, just under the Adam's apple (larynx)

Lingual thyroid diagnosis the diagnosis and management

The thyroid hormones thyroxine (T4) and tri-iodothyronine (T3) are primarily responsible for the regulation of metabolism. T4 is the inactive form of thyroid hormone and must be converted to T3 before it is effective. Treatment of Hypothyroidism. Desiccated Porcine Thyroid; Compounded T3/T4 SR capsules (dye-free, veggie) Compounded T3 SR capsules In particular, thyroid tissue at the base of tongue, termed lingual thyroid, is the most common type of thyroid ectopia and accounts for 90% of all reported cases. Despite being the most common presentation, lingual thyroid remains a rare clinical entity with an incidence of 1 per 100,000 individual [3] Developed by renowned radiologists in each specialty, STATdx provides comprehensive decision support you can rely on - Lingual Thyroid. link. Bookmarks (0) Head and Neck. Diagnosis. Oral Cavity. Congenital Lesions. Lingual Thyroid. Lingual thyroid tissue is the most frequent ectopic loca-tion of the thyroid gland, although its clinical incidence is low with in cases occurring [ ]. ere are four groups of lingual thyroid: lingual, sublingual, thyroglossal, and intralaryngeal [ ]. Lingual thyroid does not usually lead to any symptom

Medical Pictures Info – Thyroglossal Duct Cyst

Lingual Thyroid - an overview ScienceDirect Topic

Follicular carcinoma in a lingual thyroid By PETER GOODE (ManchesterR ) Introduction THE case to be described is that of a lady who presented with otalgia which was referred from a follicular carcinoma occurring in a lingual thyroid. The incidence and treatment of this condition are then discussed Define lingual thyroid. lingual thyroid synonyms, lingual thyroid pronunciation, lingual thyroid translation, English dictionary definition of lingual thyroid. n. 1. The thyroid gland. used in treatment of hypothyroid conditions. 4. An artery, vein, nerve, or other part associated with the thyroid gland or thyroid cartilage Objective: Lingual thyroid (LT) results from a developmental abnormality due to failure of the thyroid gland to descend to its pretracheal position. Given the low incidence of this disease, standardized management recommendations are lacking. We aimed to describe our institutions experience in LT management and to suggest a practice algorithm The differential diagnosis of lingual schwannoma, benign lesions like granular cell tumors, salivary gland tumors, leiomyomas, rhabdomyomas, lymphangiomas, haemangiomas, dermoid cysts, lipomas, inflammatory lesions and lingual thyroid and malignant lesions like squamous cell carcinoma, sarcomas

Lingual thyroid may sometimes present with symptoms of respiratory obstruction or feeding difficulties. We illustrate the case of a 7-year-old girl with subclinical hypothyroidism due to Hashimoto's thyroiditis arising in a lingual thyroid. She had never suffered from upper airway obstructive symptoms, but did refer a 3-month history of cough treatment 4months Levothyroxine Sodium 50mcg/day 10.9uUI/mL Final treatment Levothyroxine Sodium 75mcg/day .91uUI/mL ∗NormalTSHrange0.40-4.20uUI/mL. imaging may help in defining the extension and location of the ectopic thyroid gland [6]. In this case report the diagnostic was obtained with aid of thyroid scintigraphy, ultrasound. symptomatic lingual thyroid result in significant postoperative morbidity. We describe a new modality for treatment of symptomatic lingual thyroid. Figure 3. Base of tongue after ablation of lingual thyroid Conclusions Lingual thyroid is a rare congenital anomaly that may present with symptoms severe enough to justify surgica Physical exam. palpation of midline mass. Evaluation. 123I scan. identifies location of thyroid tissue. Treatment. Surgical. excision if mass is obstructive. commonly requires hormone supplementation following excision as this may be the only functioning thyroid tissue in the body Surgical treatment of lingual thyroid depends on size and and local symptoms as well as on other parameters such as patient's age, functional thyroid status and complications of the mass [14, 35, 37]. Several surgical approaches have been described such as transoral route, transhyoid route

Vladonix Lingual is a complex of natural peptide fractions extracted from the thyroid gland tissues of young animals. In a clinical study, the effectiveness of the Thyreogen Lingual was determined for the restoration of thyroid functions after diseases of various origins, in pathological conditions leading to dysfunction of the thyroid gland. Ectopic Lingual thyroid (ELT) is a rare developmental anomaly, caused due to aberrant embryogenesis during the descent of thyroid gland from base of tongue to the neck. Lingual thyroid is the most common presentation of ectopic thyroid tissue. Lingual thyroid (LT) may presen Lingual thyroid is a defect in fetal development that leaves thyroid tissue (often your only thyroid tissue) at the base of your tongue. At some point in the first month after conception, the tissue is supposed to drop down to the base of the neck. That's the normal location for the thyroid gland

Lingual thyroid, which represents 90% of all cases of ectopic thyroid, was first described in 1869 in a neonate experiencing upper airway obstruction. 2 It is a rare congenital anomaly with a prevalence rate between 1 in 100,000 and 1 in 300,000, and reported clinical incidence between 1:4000 and 1:10000. 3 Lingual thyroid has a significant. Lingual Thyroid A lingual thyroid is a specific type of ectopic thyroid, and results from lack of normal caudal migration of the thyroid gland. Epidemiology - The condition is congenital - Female predilection. - The incidence is 1:100000. Normal thyroid migration. 9 The thyroid's descent caudually can arrest at any point along this tract (sublingual, suprahyoid, infrahyoid, or at the level of the hyoid), most commonly at the foramen cecum itself (90%) In 80% it is the only thyroid tissue and surgical removal renders the patient hypothyroid; Occurs 4-7 timmes more commonly in female

But you don't have to take my word for it. There are studies and studies showing that an overwhelming amount of thyroid patients are dissatisfied with their treatment and continue to suffer from thyroid symptoms despite being treated. Here's the problem: To your doctor, your thyroid problem is an easy fix Treatment. Transient lingual papillitis, also called lie bumps, is a common inflammatory condition that affects the tongue, specifically the fungiform papillae. Fungiform papillae are flat, pink bumps located on the top and sides of the tongue, especially towards the tip. They contain taste buds and temperature-sensing receptors

Evaluation of Swallow Function After Tongue Cancer

Abstract: Lingual thyroid is an uncommon congenital disorder of thyroid gland development, resulting in a lack of descend of the gland from the foramen caecum to his normal prelaringeal location. In this paper we present a case of a postmenopausic patient presenting with a big size lingual thyroid deeply located in the base of the tongue, suffering increasing disphagia and respiratory impairment Although controversial, in small oligosymptomatic lingual thyroid glands, clinical treatment may be attempted, using suppressive therapy with exogenous thyroid hormone. 1,2. The surgical management of lingual thyroid depends on the severity of the symptoms present. Preoperative tracheostomy and nasotracheal intubation are both effective Surgical excision or radioiodine therapy can be effective treatments for lingual thyroid, but no treatment should be attempted before radioisotope scan has confirmed that there is adequate thyroid tissue in the neck. In those patients lacking thyroid tissue in the neck, the lingual thyroid could be excised and auto-transplanted in the neck region Lingual thyroid Complicating general anzsthesia Senior Consultant Anresthetist, Stobhill General Hospital, Glasgow, N. 1 Thyroid tissue in the region of the tongue is a condition of some rarity, the incidence having been calculated by Zaslow et al. 1 as 1 in 2,500 to 1 in 4,000 of all types of thyroid disease. According to Sicherz

Thyroid failure is most common after radioactive iodine treatment, but hypothyroidism may eventually occur in 5 to 25 percent of patients treated with surgery or antithyroid drugs.6, 7 Less common. Lingual thyroid is the most common benign ectopic thyroid tissue but is a rare clinical entity. This developmental anomaly is due to the failure of descent of the gland anlage early in the course of embryogenesis. Patients may have symptoms of dysphagia due to obstruction or even hemorrhage. These symptoms can occur at any time from infancy through adulthood The presence of ectopic thyroid gland is a rare entity. The lingual thyroid is the most frequent ectopy, predominating in women. This glandular tissue is capable of suffering all the pathologies that can affect the normotopic gland, being able to be symptomatic or asymptomatic. We present a case of lingual thyroid in a previously thyroidectomized patient who consulted for dyspnea and dysphagia.

Subclinical hypothyroidism is defined by an elevated serum thyroid-stimulating hormone (TSH) level along with a normal free thyroxine (T4) level. Whether it should be treated remains controversial. Currently, the best practical approach is to base treatment decisions on the degree of TSH elevation, thyroid autoimmunity, and associated comorbidities Most children with congenital hypothyroidism correctly treated with thyroxine grow and develop normally in all respects. Approximately 1 in 4000 newborns have a severe deficiency of thyroid function; a greater number have a mild or moderate deficiency. and an ectopic gland at the base or back of the tongue is a lingual thyroid Treatment depends on the size, extent and the symptoms of the lingual thyroid. In symptomatic cases, the main objective is to relieve the obstructive symptoms. In cases where surgery is contraindicated like anatomical difficulties or in patient who refused surgery, radioactive iodine ablation can be considered

Lingual thyroid Lingual thyroid Buckman, Lewis T. 1936-10-01 00:00:00 The purpose of the thesis is to present an analysis of the cases of lingual thyroid or goitre reported to date, together with a citation of representative articles dealing with the embryology, the anatopathologic features, and the treatment of the condition. Finally is added a personal case with clinical history and. Lingual thyroid (LT) gland is the most common type of ectopic thyroid tissue, but it is an extremely rare presentation. We present a case of a 41-year-old Hispanic female patient complaining of dysphonia and dysphagia. As part of the evaluation, fiber optic flexible indirect laryngoscopy (FIL) was performed which revealed a mass at the base of.

Hypothyroidism includes any medical condition that results in abnormally low thyroid hormone levels. Autoimmune disease, insufficient dietary iodine, surgery, inadequate stimulation of the thyroid gland and treatment for certain diseases can lead to hypothyroidism. Eye problems may develop in some people with hypothyroidism thyroids have a lingual localization.1 The definition of lingual thyroid can be used only if thyroid tissue is present on the base of the tongue between the epiglottis and circumvallate papillae, and if it picks up 131I at thyroid scintigraphy.2,3 The first case of ectopic lingual thyroid was described by Hickman in 1869.

Nuclear Medicine & PET: Thyroid scintigraphy: PaediatricThyroid Gland | SEER Training

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 View details of top lingual thyroid hospitals in Attakulangara, Thiruvananthapuram. Get guidance from medical experts to select best lingual thyroid hospital in Attakulangara COVID-19 Cases - 32036511 (India Lingual thyroid tissue develops in 1 of 100,000 individuals; however, the true incidence is unknown because many patients are asymptomatic until later in life or do not present for medical treatment [14, 37, 38]. The diagnosis is usually made as a result of the incidental discovery of a mass on the back of the tongue in an asymptomatic patient Lingual thyroid is a rare developmental anomaly originating from aberrant embryogenesis during the passage of the thyroid gland through the neck. Prevalence of this condition is reported to be between 1 per 100,000-300,000 persons and occur one in 4,000- 8,000 patients with thyroid disease [2] We report the case of an infant with ectopic lingual thyroid obstructing the airway that was treated using our novel surgical procedure. A 10-day-old male infant presented with symptoms of airway obstruction and subclinical hypothyroidism. Imaging tests revealed an ectopic lingual thyroid and the absence of a normal pretracheal thyroid gland