University of Minnesota Department of Otolaryngology, Head & Neck Surgery, Minneapolis, MN, USA.
University of Minnesota Department of Otolaryngology, Head & Neck Surgery, Minneapolis, MN, USA; Pediatric ENT, & Facial Plastic Surgery, Children's Minnesota, Minneapolis, MN, USA.
Int J Pediatr Otorhinolaryngol. 2020 May;132:109948. doi: 10.1016/j.ijporl.2020.109948. Epub 2020 Feb 13.
Fourth branchial cleft anomalies are rare lesions that present diagnostic dilemmas to otolaryngologists. The report presented is a case of a 17-year-old female with food matter and abscess within the thyroid gland that were associated with a 4th branchial cleft sinus. A thyroid ultrasound revealed a 3.0 x 1.5 x 2.5-cm lesion with abnormal echogenicity that was concerning for early abscess. The patient subsequently underwent direct laryngoscopy and right thyroid lobectomy. Her symptoms resolved after surgery. This case demonstrates an unusual presentation in which food passed through the tract to the thyroid gland itself.
第四鳃裂畸形较为罕见，给耳鼻喉科医生的诊断带来了难题。本文报告了 1 例 17 岁女性，其甲状腺内有食物和脓肿，与第四鳃裂窦有关。甲状腺超声显示 3.0x1.5x2.5 厘米的病变，回声异常，考虑早期脓肿。随后患者行直接喉镜检查和右甲状腺叶切除术。术后患者症状缓解。本例表现为食物经窦道进入甲状腺本身的罕见表现。
