老年男性甲状舌管囊肿喉内延伸致气道阻塞1例

G. Contreras, M. Lingan
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引用次数: 0

摘要

摘要:目的:报告一位老年人甲状舌管囊肿引起气道阻塞的不寻常表现。方法:设计:病例报告设置:三级政府培训医院患者:1例结果:71岁男性前颈部肿块因进行性呼吸困难被送往急诊室。右侧声门上平滑无溃疡肿块阻塞气道。在紧急高位气管切开术后,颈部对比计算机断层扫描显示在右侧声门上和咽外部位有低密度肿块伴外周边缘增强。术中,一个哑铃状囊性肿块与舌骨相连的束导致了Sistrunk手术。最终病理结果与甲状舌管囊肿一致。结论:有上呼吸道梗阻、发音困难和颈部肿块的老年患者仍有可能出现良性先天性甲状舌管囊肿伴喉内延伸。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Airway Obstruction from Intralaryngeal Extension of Thyroglossal Duct Cyst in an Elderly Man: A Case Report
ABSTRACTObjective: To report an unusual presentation of thyroglossal duct cyst causing airway obstruction in an elderly man. Methods: Design: Case Report Setting: Tertiary Government Training Hospital Patient: One Results: A 71-year-old man with an anterior neck mass was brought to the Emergency Room due to progressive difficulty of breathing. A smooth, non-ulcerating right supraglottic mass obstructed the airway. Following an emergency high tracheotomy, contrast computed tomography scan of the neck revealed a hypodense mass with peripheral rim enhancement in the right supraglottis and an extralaryngeal component. Intra-operatively, a dumbbell- shaped cystic mass with a tract connected to the hyoid bone led to a Sistrunk procedure. Final histopathology findings were consistent with thyroglossal duct cyst. Conclusion: It is possible for an elderly patient with impending upper airway obstruction, dysphonia, and neck mass to still have a benign and congenital thyroglossal duct cyst with intralaryngeal extension.
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