ENT, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
ENT, Post Graduate Institute of Medical Education and Research, Chandigarh, India
BMJ Case Rep. 2021 Jan 27;14(1):e240130. doi: 10.1136/bcr-2020-240130.
A 32-year-old man with Down's syndrome was referred to the ear, nose and throat (ENT) department in view of failed attempts at extubation, and subsequently, at decannulation of tracheotomy tube. He had previously required ventilatory support and had history of intubation for 1 week. A flexible fibre-optic laryngoscopy showed a smooth mass covering the laryngeal inlet which moved with respiration. Direct laryngoscopy under general anaesthesia revealed a smooth mucosa covered fleshy mass arising from the left aryepiglottic fold and arytenoid, obstructing the laryngeal inlet. The mass was removed using controlled plasma ablation, and histopathological examination of the same was consistent with lymphangioma. Endoscopic examinations during the regular follow-up visits revealed well-healed supraglottic area with adequate glottic chink and the patient could be successfully decannulated.
一位 32 岁唐氏综合征男性患者，因拔管失败和随后气管切开管拔管失败而被转至耳鼻喉科（ENT）。他之前需要通气支持，并且有插管 1 周的病史。纤维喉镜检查显示覆盖喉入口的光滑肿块随呼吸移动。全身麻醉下直接喉镜检查显示，左侧会厌皱襞和杓状软骨处有光滑的黏膜覆盖的肉质肿块，阻塞喉入口。该肿块采用控制性等离子消融术切除，其组织病理学检查与淋巴管瘤一致。定期随访的内镜检查显示，声门上区愈合良好，声门裂充足，患者可成功拔管。
