{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T06:15:04Z","timestamp":1778652904607,"version":"3.51.4"},"reference-count":21,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Lingual thyroid is a rare ectopic thyroid disorder, with an incidence of 1 in 100,000\u2013300,000. Surgical treatment options include transoral robotic surgery, transoral laser microsurgery, and coblation; however, these require expensive equipment, which may limit accessibility. We report a case that was successfully treated using an electrohook, a universally available and cost-effective alternative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient concerns<\/jats:title>\n                    <jats:p>A 56-year-old woman presented with a 10-year history of foreign body sensation and dysphagia, which had recently worsened and was significantly affecting her quality of life, prompting her to seek medical attention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Diagnosis<\/jats:title>\n                    <jats:p>Based on electronic laryngoscopy revealing a mass at the tongue base, elevated thyroid-stimulating hormone (TSH) levels (40 \u03bcIU\/mL), a reduced cervical thyroid on ultrasonography, and contrast-enhanced CT demonstrating a characteristic thyroid-like enhancement pattern, a diagnosis of lingual ectopic thyroid with hypothyroidism was made. Postoperative pathology confirmed well-differentiated ectopic thyroid tissue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention and outcomes<\/jats:title>\n                    <jats:p>The patient received preoperative levothyroxine (25 \u03bcg\/day). Under general anesthesia, with laryngoscope support, a partial resection was performed using an electrohook, which enabled simultaneous cutting and hemostasis. The procedure lasted 45\u2005min and was associated with minimal blood loss (20\u2005mL). Postoperatively, she received antibiotics and continued thyroid hormone replacement therapy. Her symptoms resolved completely, and recovery was uneventful. At the 3-month follow-up, she remained asymptomatic, with normalized thyroid function (TSH 5.2 \u03bcIU\/mL) and an improved quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Electrohook resection under laryngoscopic guidance is a simple, cost-effective, and safe treatment for symptomatic lingual ectopic thyroid, particularly suitable for primary hospitals, and may improve treatment accessibility for this rare condition.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1783218","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T05:56:12Z","timestamp":1778651772000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Partial resection of lingual ectopic thyroid using an electrohook under laryngoscopic guidance"],"prefix":"10.3389","volume":"13","author":[{"given":"Kepeng","family":"Li","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology, Jingmen Central Hospital","place":["Jingmen, China"]},{"name":"Jingmen Central Hospital Affiliated to Jingchu University of Technology","place":["Jingmen, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinxiu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology, Jingmen Central Hospital","place":["Jingmen, China"]},{"name":"Jingmen Central Hospital Affiliated to Jingchu University of Technology","place":["Jingmen, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"EDM20","DOI":"10.1530\/edm-20-0026","article-title":"Lingual thyroid gland: it's Time for awareness","volume":"2020","author":"Cruz-Dard\u00edz","year":"2020","journal-title":"Endocrinol Diabetes Metab Case Rep"},{"key":"B2","doi-asserted-by":"publisher","first-page":"7607","DOI":"10.1097\/ms9.0000000000003725","article-title":"Multinodular goiter in ectopic lingual thyroid: a case report with comprehensive review","volume":"87","author":"Yadav","year":"2025","journal-title":"Ann Med Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e0239","DOI":"10.1097\/md.0000000000010239","article-title":"The value of scintigraphy, computed tomography, magnetic resonance imaging, and single-photon emission computed tomography\/computed tomography for the diagnosis of ectopic thyroid in the head and neck: a STROBE-compliant retrospective study","volume":"97","author":"Xu","year":"2018","journal-title":"Medicine (Baltimore)"},{"key":"B4","doi-asserted-by":"publisher","first-page":"343","DOI":"10.4158\/EP15973.OR","article-title":"Lingual thyroid: 35-year experience at A tertiary care referral center","volume":"22","author":"Carranza Leon","year":"2016","journal-title":"Endocr Pract"},{"key":"B5","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1177\/00034894211007251","article-title":"Is transoral robotic surgery the best surgical treatment for lingual thyroid? 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