Maddern B R, Werkhaven J, McBride T
Department of Otolaryngology, Children's Hospital of Pittsburgh, PA 15213.
Int J Pediatr Otorhinolaryngol. 1988 Oct;16(1):77-82. doi: 10.1016/0165-5876(88)90103-6.
A case of lingual thyroid causing airway obstruction in a 3-month-old infant is reported. Endoscopic examination for stridor disclosed an obstructing 4 X 3 cm base of tongue lesion. Nuclear isotope scanning confirmed this to be the only thyroid tissue present in this patient. A transoral excision using the CO2 laser was performed without complication. Only one other case of airway obstruction in the young infant secondary to lingual thyroid has been reported, that being the original case description in 1869. A review of the embryology and discussion of the suggested therapies is presented. The rationale for use of the CO2 laser for this lesion is discussed.
报告了一例3个月大婴儿因舌甲状腺导致气道阻塞的病例。针对喘鸣进行的内镜检查发现舌根部有一个4×3厘米的阻塞性病变。核素扫描证实这是该患者唯一存在的甲状腺组织。使用二氧化碳激光进行了经口切除，未出现并发症。此前仅报道过另一例因舌甲状腺导致幼儿气道阻塞的病例，即1869年的原始病例描述。本文对胚胎学进行了回顾，并对建议的治疗方法进行了讨论。还讨论了使用二氧化碳激光治疗该病变的理论依据。
