Orbelo Diana, Ekbom Dale C, Thompson Dana M
Department of Otorhinolaryngology-Head and Neck Surgery, Division of Voice Restoration Surgery, Mayo Clinic and Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
Ann Otol Rhinol Laryngol. 2011 Dec;120(12):775-9. doi: 10.1177/000348941112001202.
We present a unique and medically complex case of improved voice after lingual thyroidectomy. A 10-year-old boy with multifactorial dysphonia presented with bilateral vocal fold lesions and sulci in the context of hypothyroidism as a result of a congenital lingual thyroid gland. Despite hormone replacement, medical treatment for asthma, allergy, cough, and possible reflux, as well as voice therapy, the dysphonia persisted. Significant improvement in both subjective and objective voice measures was achieved after surgical removal of the lingual thyroid gland, which allowed for maintenance of a consistent euthyroid state. Lingual thyroidectomy is typically reserved for cases of bleeding and dysphagia. This case supports dysphonia as a possible additional indication for lingual thyroidectomy.
我们报告了一例独特且医学情况复杂的病例，该病例在舌甲状腺切除术后声音得到改善。一名10岁患有多因素发音障碍的男孩，因先天性舌甲状腺导致甲状腺功能减退，出现双侧声带病变和沟裂。尽管进行了激素替代治疗、针对哮喘、过敏、咳嗽以及可能的反流的药物治疗，还有嗓音治疗，但发音障碍仍持续存在。手术切除舌甲状腺后，主观和客观的嗓音指标均有显著改善，且维持了甲状腺功能正常的稳定状态。舌甲状腺切除术通常用于治疗出血和吞咽困难的病例。该病例支持发音障碍可能作为舌甲状腺切除术的另一个指征。
