Venkatesan Sithananda Kumar, Manoharan Kiruba Shankar, Parida Pradipta Kumar, Alexander Arun, Gopalakrishnan S
Deptartement of ENT and Head & Neck Surgery, JIPMER, Puducherry 605006, India.
Case Rep Otolaryngol. 2013;2013:340814. doi: 10.1155/2013/340814. Epub 2013 Aug 13.
Thyroglossal cysts are one of the most common midline neck masses. They usually present as midline painless cystic neck mass in the first three decades of life. These anomalies are very rare in elderly patients and may pose difficult diagnostic and therapeutic challenges. Here, we report a case of giant thyroglossal cyst in a 72-year-female patient who presented with stridor, hoarseness of voice, and vocal cord paresis with gross distortion of normal airway anatomy secondary to pressure effect of the mass. The gross distortion and displacement of airway along with respiratory distress in this patient posed a difficult situation in securing the airway. The airway was secured by a unique way of orotracheal intubation with the help of a ventilating airway exchange catheter. The cyst was excised in toto under general anaesthesia. The stridor completely resolved after surgery and tracheostomy was avoided.
甲状舌管囊肿是最常见的颈部中线肿物之一。它们通常表现为在生命的头三十年里出现在中线的无痛性颈部囊性肿物。这些异常在老年患者中非常罕见，可能带来诊断和治疗方面的难题。在此，我们报告一例72岁女性患者的巨大甲状舌管囊肿病例，该患者出现喘鸣、声音嘶哑以及声带麻痹，由于肿物的压迫作用导致正常气道解剖结构严重变形。气道的严重变形和移位以及该患者的呼吸窘迫给气道保障带来了困难局面。通过借助通气道交换导管以一种独特的经口气管插管方式保障了气道安全。在全身麻醉下将囊肿完整切除。术后喘鸣完全消失，避免了气管切开。
