Abstract
A case of lingual ectopia of the thyroid gland, excised and successfully autografted, is reported. The suggestion is made that the term lingual ectopia be reserved for those cases in which I131 survey confirms the absence of orthotopic thyroid tissue. The clinical picture and recommended investigation are summarized and the surgical anatomy of lateral pharyngotomy and a technique of auto-transplantation are described. The embryology, pathology, indications for operation, surgery of access, and autotransplantation are discussed.