Abstract
Abstract A rare case of neonatal stridor caused by an obstructing lingual thyroid in a patient with congenital hypothyroidism is presented. A base of tongue mass was visualized on flexible laryngoscopy, and magnetic resonance imaging demonstrated absence of thyroid in the normal anatomical position. The mass was debulked transorally and confirmed pathologically to be lingual thyroid. Initial airway exposure was deceptively difficult, but markedly improved postoperatively. Lingual thyroid should be included in the differential diagnosis of neonatal stridor, particularly in the setting of congenital hypothyroidism. Imaging is recommended to characterize the mass and evaluate for thyroid gland in the normal position.
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