新生兒會厭谿囊腫

喉谿部囊腫在新生兒並非常見的疾病，雖然良性但臨床上可造成有喘鳴、呼吸急促、餵食困難及生長遲緩的症狀，若沒有及早診斷和適當的治療，有可能造成嚴重的呼吸道阻塞，導致死亡。本院於2003年3月經歷1名出生1天的男性新生兒，出生後1小時即發現有呼吸急促的情形，吸氣時有喘鳴聲及肋骨下、胸骨上凹陷的現象，經由口腔檢查發現有一個腫塊位於舌根部，使呼吸道明顯變窄；喉纖維內視鏡與核磁共振攝影顯示有一個18×12cm的囊腫，源自右側喉谿部。在全身麻醉之下，經由直達喉鏡將囊腫去頂化(deroofing)，手術後患者的症狀均獲改善，6個月後追蹤亦無復發現象。

關鍵字

喉谿部囊腫；喉部疾病；新生兒；呼吸道阻塞

並列摘要

Vallecular cyst is a rare disease of neonates and infants. This benign lesion is associated with clinical presentations of stridor, dyspnea, feeding difficulties and failure to thrive. Further, such a lesion may also compromise airway function and even cause death if early diagnosis is not made and an appropriate treatment commenced. A one-day-old newborn boy was transferred to our hospital during March, 2003. This patient had been found to be experiencing dyspnea and inspiratory stridor with apparent subcostal and suprastemal retraction, approximately one hour afterbirth. Upon physical examination, this patient's airway was seen to be severely compromised by a mass located at the tongue base. Flexible fiberoptic laryngoscopy and magnetic resonance imaging revealed a 1.8×1.2cm cystic mass emerging from the right vallecula. Marsupialization was performed by deroofing of the cyst wall using direct laryngoscopy under general anesthesia. The patient's symptoms improved dramatically following the surgical procedure, and no recurrence of the cyst has been noted over the sub sequent six months.

並列關鍵字

vallecular cyst ； laryngeal disease ； neonate ； airway obstruction

國際替代計量

新生兒會厭谿囊腫

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