Lin Wan-Ni, Lee Li-Ang, Wang Chih-Ching, Li Hsueh-Yu
Department of Otolaryngology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan.
Pediatr Pulmonol. 2009 Jan;44(1):93-5. doi: 10.1002/ppul.20951.
We present a 14-year-old girl whose initial diagnosis was obstructive sleep apnea syndrome (OSAS) with symptoms of habitual snore, sleep breath holding, shortness of breath, and lump in throat. Lingual thyroid was diagnosed by thyroid scan and histology, and was treated by radioactive iodine therapy and endoscopic carbon dioxide laser therapy. Her OSAS completely subsided after lingual thyroid surgery. Physicians should be aware of rare causes of OSAS in children, such as lingual thyroid and certainly if accompanied by difficulties in swallowing and speech problems.
我们报告一名14岁女孩，其最初诊断为阻塞性睡眠呼吸暂停综合征（OSAS），伴有习惯性打鼾、睡眠呼吸暂停、呼吸急促和咽部异物感等症状。通过甲状腺扫描和组织学检查诊断为舌甲状腺，并采用放射性碘治疗和内镜二氧化碳激光治疗。舌甲状腺手术后，她的OSAS完全缓解。医生应意识到儿童OSAS的罕见病因，如舌甲状腺，尤其是伴有吞咽困难和言语问题时。
