“…The technique choice is influenced by patient age and sex, symptoms, dimensions, the localization of the mass, and above all, by the ability to control bleeding. 7 Studies on cadavers have identified anomalies of the thyroid arteries: the superior is often absent, while the inferior, if present, appears hypoplastic, and the lingual thyroid is vascularized by lingual or facial arteries. 8 As our case had the lingual thyroid as the only functional thyroid tissue, a novel surgical approach planned was supra-hyoid removal of lingual thyroid along with its vascular pedicle of the lingual artery and cervical transposition of the gland in the neck.…”