Galy-Bernadoy C, Akkari M, Blanchet C, Mondain M
Service d'ORL et Chirurgie Cervico Faciale, UAM ORL pédiatrique, CHU de Montpellier, Université Montpellier 1, France.
Service d'ORL et Chirurgie Cervico Faciale, UAM ORL pédiatrique, CHU de Montpellier, Université Montpellier 1, France.
Int J Pediatr Otorhinolaryngol. 2014 Dec;78(12):2327-9. doi: 10.1016/j.ijporl.2014.11.004. Epub 2014 Nov 11.
Laryngeal cysts are heterogeneous in their clinical presentation and several classifications have been proposed. Here, we report the case of a foraminal laryngeal cyst in a 6 year-old child who also has hemi facial microsomia (HFM). The cyst was treated surgically with laryngotracheal endoscopy followed by cervicotomy. Histological analysis revealed different types of cystic wall epithelium. This case is the first report of a laryngeal cyst associated with HFM in the literature. We discuss the diagnostic challenges of these specific cystic pathologies, and their pathogenesis as part of an oculo-auriculo-vertebral spectrum. Several hypotheses are proposed, based mainly on characterization of their embryological origin.
喉囊肿的临床表现具有异质性，人们已提出多种分类方法。在此，我们报告一例6岁儿童的椎间孔喉囊肿病例，该儿童还患有半侧颜面短小畸形（HFM）。通过喉气管内镜检查并随后进行颈切开术对囊肿进行了手术治疗。组织学分析显示囊肿壁上皮有不同类型。该病例是文献中首例与HFM相关的喉囊肿报告。我们讨论了这些特定囊性病变的诊断挑战及其作为眼耳脊椎谱系一部分的发病机制。主要基于对其胚胎起源特征的研究，提出了几种假说。
