- 期刊
甲狀舌囊腫併喉部侵犯－病例報告
Thyroglossal Duct Cyst with Laryngeal Extension-Case Report
摘要
甲狀舌囊腫源自於甲狀舌管，是兒童最常見的先天性腫塊，腫塊通常表現於頸部中央。我們觀察到某些複雜性的甲狀舌囊腫會伴有喉部侵犯，臨床表現除了頸部腫塊之外，也會出現喉部症狀，包括咽喉異物感、聲音沙啞、吞嚥障礙、或是呼吸困難。理學檢查後常發現假聲帶隆起；影像學檢查顯示囊狀病灶經由甲狀舌骨膜進入會厭前間隙，呈現啞鈴狀。手術經由頸部將病灶移除，術後喉部功能逐漸回復正常。考量呼吸道風險，術後需考慮留置氣管內管觀察，除非插管困難，否則不需要實施氣管切開手術。
並列摘要
A thyroglossal duct cyst is derived from the thyroglossal canal. It is the most common congenital mass in children. The clinical presentation is usually a ＂midline＂ neck mass. We have observed that some complicated thyroid cysts exhibit laryngeal invasion. In addition to neck masses, there are also throat symptoms, including sensations of a foreign body in the throat, hoarseness, swallowing, or difficulty breathing. A physiological examination of the patient showed that the false vocal cords were uplifted, and the imaging examination showed that the cystic lesions had entered the pre-epiglottis space via the thyrohyoid membrane and presented as a dumbbell shape. The surgical method used to remedy this condition is removal of the mass from the neck rather than from the larynx. The laryngeal functions gradually recover after surgery. Due to the risk to the respiratory tract, postoperative tracheal intubation should be considered after surgery, where a tracheotomy is not required unless intubation is difficult.
延伸閱讀
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