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Lingual thyroid: an unusual and surgically curable cause of sleep apnoea in a male

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Abstract

Introduction

Lingual thyroid is a rare embryological abnormality that occurs as a result of failed descent of the thyroid gland.

Case report

We report the case of a 39-year-old male with an incidental finding of a lingual thyroid during intubation for surgery for lower limb fractures. A sleep study indicated an RDI of 38.6, consistent with severe sleep apnoea. The ectopic thyroid was excised via a suprahyoid approach, with resolution of apnoeic symptoms post-operatively. A follow-up sleep study subsequent to his operation confirmed an RDI of 3.7.

Conclusion

This is the first time a lingual thyroid causing sleep apnoea has been studied with pre- and post-treatment sleep studies. This is also the first recorded instance of lingual thyroid causing sleep apnoea has been recorded in a male.

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References

  1. Dasari SD, Bashetty NK, Prayaga NS (2007) Radiofrequency ablation of lingual thyroid. Otolaryngol Head Neck Surg 136:498–499

    Article  PubMed  Google Scholar 

  2. Koch CA, Picken C, Clement SC, Azumi N, Sarlis NJ (2000) Ectopic lingual thyroid: an otolaryngologic emergency beyond childhood. Thyroid 10:511–514

    CAS  PubMed  Google Scholar 

  3. Weider DJ, Parker W (1977) Lingual thyroid: review, case reports, and therapeutic guidelines. Ann Otol Rhinol Laryngol 86:841–848

    CAS  PubMed  Google Scholar 

  4. Thomas G, Hoilat R, Daniels JS, Kalagie W (2003) Ectopic lingual thyroid: a case report. Int J Oral Maxillofac Surg 32:219–221

    Article  CAS  PubMed  Google Scholar 

  5. Rahbar R, Yoon MJ, Connolly LP, Robson CD, Vargas SO, McGill TJ, Healy GB (2008) Lingual thyroid in children: a rare clinical entity. Laryngoscope 118:1174–1179

    Article  PubMed  Google Scholar 

  6. Bayram F, Kulahli I, Yuce I, Gokce C, Cagli S, Deniz K (2004) Functional lingual thyroid as unusual cause of progressive dysphagia. Thyroid 14:321–324

    Article  CAS  PubMed  Google Scholar 

  7. Oppenheimer R (2001) Lingual thyroid associated with chronic cough. Otolaryngol Head Neck Surg 125:433–434

    Article  CAS  PubMed  Google Scholar 

  8. Puxeddu R, Pelagatti CL, Nicolai P (1998) Lingual thyroid: endoscopic management with CO2 laser. Am J Otolaryngol 19:136–139

    Article  CAS  PubMed  Google Scholar 

  9. Barnes TW, Olsen KD, Morgenthaler TI (2004) Obstructive lingual thyroid causing sleep apnea: a case report and review of the literature. Sleep Med 5:605–607

    Article  PubMed  Google Scholar 

  10. Taibah K, Ahmed M, Baessa E, Saleem M, Rifai A, al-Arifi A (1998) An unusual cause of obstructive sleep apnoea presenting during pregnancy. J Laryngol Otol 112:1189–1191

    Article  CAS  PubMed  Google Scholar 

  11. Batsakis JG, El-Naggar AK, Luna MA (1996) Thyroid gland ectopias. Ann Otol Rhinol Laryngol 105:996–1000

    CAS  PubMed  Google Scholar 

  12. Ghanem N, Bley T, Altehoefer C, Hogerle S, Langer M (2003) Ectopic thyroid gland in the porta hepatis and lingua. Thyroid 13:503–507

    Article  PubMed  Google Scholar 

  13. Williams JD, Sclafani AP, Slupchinskij O, Douge C (1996) Evaluation and management of the lingual thyroid gland. Ann Otol Rhinol Laryngol 105:312–316

    CAS  PubMed  Google Scholar 

  14. Douglas PS, Baker AW (1994) Lingual thyroid. Br J Oral Maxillofac Surg 32:123–124

    Article  CAS  PubMed  Google Scholar 

  15. Lin WN, Lee LA, Wang CC, Li HY (2009) Obstructive sleep apnea syndrome in an adolescent girl with hypertrophic lingual thyroid. Pediatr Pulmonol 44:93–95

    Article  PubMed  Google Scholar 

  16. Rashid M, Majeed S, Tariq KM, Inam ul H, Niwaz A, Saeed A (2004) Lingual thyroid as a cause of snoring and sleep apnea. J Coll Physicians Surg Pak 14:681–682

    PubMed  Google Scholar 

  17. Dagan Y, Doljansky JT, Green A, Weiner A (2006) Body mass index (BMI) as a first-line screening criterion for detection of excessive daytime sleepiness among professional drivers. Traffic Inj Prev 7:44–48

    Article  PubMed  Google Scholar 

  18. Fidan F, Unlu M, Sezer M, Kara Z (2007) Relation between traffic accidents and sleep apnea syndrome in truck drivers. Tüberk Toraks 55:278–284

    PubMed  Google Scholar 

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Correspondence to Peter Peters.

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Peters, P., Stark, P., Essig, G. et al. Lingual thyroid: an unusual and surgically curable cause of sleep apnoea in a male. Sleep Breath 14, 377–380 (2010). https://doi.org/10.1007/s11325-010-0351-6

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  • DOI: https://doi.org/10.1007/s11325-010-0351-6

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