Endocrine Abstracts

Actuality: Goitre of the tongue root malformation of the thyroid gland is a violation of the process of migration from the tongue root to the definitive position at the level of the 2nd - 4th rings of the trachea, when the thyroid gland remains in whole or in part in the area of the blind opening of the tongue.

The aim: To evaluate the results after operative complications, to determine the main changes in TTH and T4 after surgery in the debut of the disease and in the dynamics on the background of treatment.

Materials and methods: Twenty-eight patients examined for goiter of the root of the tongue in the endocrine surgery department. The level of TTH and T4 was determined in all patients before and after the operation.

Results: Initially, 67.8% (19 people) had symptoms of hypothyroidism, euthyroidism was detected in 8 patients (14.2%), thyrotoxicosis in 1 patient (3.57%). Clinically, in the debut of the disease in 19 patients (67.8%), disturbed swallowing disturbed, breathing difficulty - 15 patients (53.5%), nasal humility and hoarseness of the voice — 25 patients (89.2%), foreign body sensation in the throat - 13 patient (46.4%). The condition of patients after surgery in patients with euthyroidism level of TTH is 2.6+−1.2 (mIU/l), T4 of st. (pmol/l), and in patients with hypothyroidism the level of TTH is 7.6+−2.2 (mIU/l), T4 of St. 7.5+−3.1 (pmol/l). And in patients with thyrotoxicosis, the level of TTH is 0.40 (mIU/l), T4 of St. 23.5 (pmol/l).

Conclusion: Given the propensity for malignancy, patients with an established diagnosis of ‘Goiter of the root of the tongue’ are subject only to surgical treatment. Scintigraphy of the ‘Crab of the tongue root’ is necessary before the operation - diagnosis, after the operation - quality control or the presence of a relapse.