Echternach M, Arndt S, Markl M, Richter B, Breyer T
Freiburger Zentrum für Musikermedizin, Universitätsklinik Freiburg, Freiburg, Germany.
HNO. 2008 Dec;56(12):1233-8. doi: 10.1007/s00106-008-1756-4.
Reports on acquired traumatic laryngomalacia appear only rarely in the literature. We report a case of a 47-year-old patient with breathlessness after a transcervical approach to the spine during general anesthesia with intubation. Laryngostroboscopy revealed a smooth and, during inspiration, retroflexed epiglottis at the posterior pharyngeal wall. Additionally, dynamic magnetic resonance imaging for the first time showed hypermobility of the upper edge of the epiglottis. After partial laser epiglottectomy, the patient's complaints disappeared.
关于后天性创伤性喉软化症的报道在文献中极为罕见。我们报告一例47岁患者,在全身麻醉插管下行颈椎前路手术后出现呼吸困难。喉动态镜检查显示会厌光滑,吸气时向后弯曲贴于咽后壁。此外,动态磁共振成像首次显示会厌上缘活动过度。部分激光会厌切除术后,患者的症状消失。