case_images: PMC4555932_01
case_images: Incision
case_images: AMS-5-104-g001.jpg
case_images: PMC4555932_01_AMS-5-104-g001.jpg
case_images: F1
case_images: Surgical excision was planned under general anesthesia, we choose lip split [Figure 1] mandibulotomy procedure because this approach would provide a good wide exposure to base of tongue and also suspicion of a vascular tumor was not ruled out, miniplates were adapted and osteotomy cuts were done in the parasymphysis region in an oblique fashion [Figure 2] mylohyoid muscle was dissected and mandible was swung outward, to reach the base of the tongue, growth was exposed [Figure 3] and removed in toto [Figures 4 and 5].
case_images: Oblique bone cuts
case_images: AMS-5-104-g002.jpg
case_images: PMC4555932_01_AMS-5-104-g002.jpg
case_images: F2
case_images: Surgical excision was planned under general anesthesia, we choose lip split [Figure 1] mandibulotomy procedure because this approach would provide a good wide exposure to base of tongue and also suspicion of a vascular tumor was not ruled out, miniplates were adapted and osteotomy cuts were done in the parasymphysis region in an oblique fashion [Figure 2] mylohyoid muscle was dissected and mandible was swung outward, to reach the base of the tongue, growth was exposed [Figure 3] and removed in toto [Figures 4 and 5].
case_images: Tumor exposed
case_images: AMS-5-104-g003.jpg
case_images: PMC4555932_01_AMS-5-104-g003.jpg
case_images: F3
case_images: Surgical excision was planned under general anesthesia, we choose lip split [Figure 1] mandibulotomy procedure because this approach would provide a good wide exposure to base of tongue and also suspicion of a vascular tumor was not ruled out, miniplates were adapted and osteotomy cuts were done in the parasymphysis region in an oblique fashion [Figure 2] mylohyoid muscle was dissected and mandible was swung outward, to reach the base of the tongue, growth was exposed [Figure 3] and removed in toto [Figures 4 and 5].
case_images: Tumor excised
case_images: AMS-5-104-g004.jpg
case_images: PMC4555932_01_AMS-5-104-g004.jpg
case_images: F4
case_images: Surgical excision was planned under general anesthesia, we choose lip split [Figure 1] mandibulotomy procedure because this approach would provide a good wide exposure to base of tongue and also suspicion of a vascular tumor was not ruled out, miniplates were adapted and osteotomy cuts were done in the parasymphysis region in an oblique fashion [Figure 2] mylohyoid muscle was dissected and mandible was swung outward, to reach the base of the tongue, growth was exposed [Figure 3] and removed in toto [Figures 4 and 5].
case_images: Surgical defect
case_images: AMS-5-104-g005.jpg
case_images: PMC4555932_01_AMS-5-104-g005.jpg
case_images: F5
case_images: Surgical excision was planned under general anesthesia, we choose lip split [Figure 1] mandibulotomy procedure because this approach would provide a good wide exposure to base of tongue and also suspicion of a vascular tumor was not ruled out, miniplates were adapted and osteotomy cuts were done in the parasymphysis region in an oblique fashion [Figure 2] mylohyoid muscle was dissected and mandible was swung outward, to reach the base of the tongue, growth was exposed [Figure 3] and removed in toto [Figures 4 and 5].
case_images: Mandible repositioned and plated
case_images: AMS-5-104-g006.jpg
case_images: PMC4555932_01_AMS-5-104-g006.jpg
case_images: F6
case_images: The osteotomized mandible was repositioned and plated [Figure 6] and primary closure was achieved [Figure 7].
case_images: Final closure
case_images: AMS-5-104-g007.jpg
case_images: PMC4555932_01_AMS-5-104-g007.jpg
case_images: F7
case_images: The osteotomized mandible was repositioned and plated [Figure 6] and primary closure was achieved [Figure 7].
case_images: Excised specimen
case_images: AMS-5-104-g008.jpg
case_images: PMC4555932_01_AMS-5-104-g008.jpg
case_images: F8
case_images: Excised specimen was sent for histopathology [Figure 8].
case_images: Histopathology shows thyroid follicles lined by columnar cells with eosinophilic colloid inside the follicles
case_images: AMS-5-104-g009.jpg
case_images: PMC4555932_01_AMS-5-104-g009.jpg
case_images: F9
case_images: Histopathology report confirmed the diagnosis of lingual thyroid [Figure 9].