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December 1962

Lingual Thyroid with Cervical Athyreosis: Case Report

Arch Otolaryngol. 1962;76(6):555-557. doi:10.1001/archotol.1962.00740050569013

A white male, age 12, was having a routine prefootball physical examination when the team physician noted a reddish swelling at the tongue base, apparent only with certain tongue movements. The patient was referred to me for further investigation.

Past history and history of the present illness were unrevealing. Especially important was the absence of any history of dyspnea, dysphagia, or bleeding.

When the tongue was in certain positions a convex lobulated reddish midline mass could just be seen. The mass was firm. One could not be certain by palpation that neck thyroid was present.

Further Course  In Timken Mercy Hospital on Sept. 27, 1961, I planned to biopsy and possibly remove the tongue mass. The preoperative diagnosis was lingual thyroid.Realizing that postoperative edema of the tongue might embarrass the airway, I decided to do a preliminary tracheotomy. Also knowing the pitfall of the possibility of the lingual thyroid

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