M Irfan, Yaroko Ali Ango, S M Najeb, Periasamy Centilnathan
Universiti Sains Malaysia, Department of Otorhinolaryngology-Head & Neck Surgery, School of Medical Sciences, Universiti Sains Malaysia Health Campus, 16150 Kota Bharu, Kelantan, Malaysia.
Med J Malaysia. 2013 Apr;68(2):183-5.
A massive goiter may constrict the trachea resulting in shortness of breath. Recurrent laryngeal nerve compression may cause vocal cord paralysis. We highlight a case of a 62- year-old female with a 30 year history of an anterior neck swelling gradually increasing in size. She presented with acute symptoms of upper airway obstruction and voice changes. Emergency thyroidectomy was performed by dividing the middle part of the gland using ultrasonic scissors. The recovery was uneventful and the patient regained normal vocal cord function post operatively.
巨大甲状腺肿可能会压迫气管，导致呼吸急促。喉返神经受压可能会引起声带麻痹。我们着重介绍一例62岁女性病例，其颈部前方肿胀已有30年病史，且肿物逐渐增大。她出现了上呼吸道梗阻和声音改变的急性症状。通过使用超声刀将腺体中部切开，为患者实施了急诊甲状腺切除术。术后恢复顺利，患者术后恢复了正常的声带功能。
