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Case Reports in Otolaryngology
Volume 2015 (2015), Article ID 265207, 4 pages
Case Report

Conservative Management for Lingual Thyroid Ectopic

1Oral and Maxillofacial Surgery Division, Department of Oral Diagnosis, Piracicaba Dental School, State University of Campinas (UNICAMP), Campinas, SP, Brazil
2Department of Head and Neck Surgery, Hospital Santa Casa de Limeira, Limeira, SP, Brazil

Received 25 September 2014; Revised 27 December 2014; Accepted 11 January 2015

Academic Editor: Augusto Casani

Copyright © 2015 Eder Alberto Sigua-Rodriguez et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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 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.