. Archives of physical medicine and rehabilitation . showing typical location of lingual thyroid, llg. K—Urawlng showing location of tumor In the case now reported. 382 —Drawing showing appearance of tumor on dorsumtonguo in case now reported. surgical removal, thextraoral. The intraoral is feasiblewhere the mouth is large, the tonguelong and slender and the tumor smalland situated close to the dorsum of thetongue. In the cases where a largetumor is present, the extraoral attackis to be recommended. In this opera-tion the mcision is made in the midlinebelow the mandible and ends of thehyoid bo
. Archives of physical medicine and rehabilitation . showing typical location of lingual thyroid, llg. K—Urawlng showing location of tumor In the case now reported. 382 —Drawing showing appearance of tumor on dorsumtonguo in case now reported. surgical removal, thextraoral. The intraoral is feasiblewhere the mouth is large, the tonguelong and slender and the tumor smalland situated close to the dorsum of thetongue. In the cases where a largetumor is present, the extraoral attackis to be recommended. In this opera-tion the mcision is made in the midlinebelow the mandible and ends of thehyoid bone. Through this incisionenucleation is done. In very largetumors the incision is carried down-ward through the hyoid bone to theupper border of the larynx. When thistechnique is necessary a tracheotomymust first be done. There have been no surgical deathsin the cases reported. Healing has beenrapid and complete and the patientshave quickly returned to the customaryemployment. It is important to de- CARCINOMA OF LINGUAL THYROIDintraoral and the. Fig. in—Photograph of specimenof tongue, .showing necrotic area occupy-ing loft posterior quadrant of tongueand extending down to epiglottis. fermine the presence of a thyroid at thenormal location before operation, inorder that myxedema may not be pro-duced by removal of the lingual thy-roid. Case Report The following is a report of the caseunder discussion: Diagnosis: Aberrant thyroid glandin the root of the tongue which hasundergone malignant 23, 1921—Metastases in thelung. Chief Complaint: Difficulty in swal-lowing. Past History: Patient had neverbeen incapacitated. Present Illness: Eight years ago thepatient first noticed a small lump atthe base of the tongue. He went to adoctor and received local treatment for
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