Pinther Steven, Codino Juliana, Rubin Adam
SCS/MSUCOM.
Lakeshore Professional Voice Center.
Spartan Med Res J. 2020 Jan 30;4(2):11641. doi: 10.51894/001c.11641.
Thermal injury to the larynx and other pharyngeal structures as a result of food ingestion is a rare occurrence, particularly in an adult population. Since the 1970's, only a few cases have been reported in the literature.
We present the case of a male in their early 30's with a history of left sided spastic hemiparesis and unilateral vocal fold paresis who ingested a sweet potato which resulted in supraglottic burns. The patient denied any prior swallowing difficulties. Conservative therapy with steroids, proton pump inhibitors (PPI's) and antibiotics were sufficient for full recovery without any lasting sequelae.
This case demonstrates how careful attention should be paid to food temperature particularly in patients at higher risk of dysphagia. It also demonstrates how prompt diagnosis and implementation of appropriate medications can prevent permanent and debilitating damage.
因摄入食物导致喉部及其他咽部结构热损伤的情况较为罕见,在成人中尤为如此。自20世纪70年代以来,文献中仅报道了少数病例。
我们报告一例30岁出头的男性病例,该患者有左侧痉挛性偏瘫和单侧声带麻痹病史,因食用红薯导致声门上烧伤。患者否认既往有任何吞咽困难。使用类固醇、质子泵抑制剂(PPI)和抗生素进行保守治疗足以实现完全康复,且无任何持久后遗症。
该病例表明,尤其对于吞咽困难风险较高的患者,应如何密切关注食物温度。它还表明及时诊断并使用适当药物可预防永久性和使人衰弱的损伤。