Weill Cornell Medicine, New York, New York, U.S.A.
Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medicine, New York, New York, U.S.A.
Laryngoscope. 2022 Jul;132(7):1410-1413. doi: 10.1002/lary.29956. Epub 2021 Nov 26.
We present the case of a patient with a recent history of ischemic stroke who presented with clicking larynx syndrome, a condition in which clicking noises in the larynx can be provoked by movement of the head and neck. Diagnostic imaging revealed unusual development and posterior angulation of the superior horn of the thyroid cartilage that potentially was causing trauma to the left common carotid artery. We deduced that symptomatic impingement of the carotid artery by the thyroid cartilage was not only the cause of the patient's clicking larynx syndrome, but also suspected to be the cause of her prior strokes due to repetitive trauma resulting in thrombus. The patient was managed surgically with thyroplasty and transcervical resection of the left greater cornu of the thyroid cartilage with resolution of her symptoms. Anatomical displacement of the thyroid cartilage can manifest as clicking larynx syndrome as well as cause mechanical injury to the carotid artery, resulting in turbulent flow, possible thrombosis, and stroke. Laryngoscope, 132:1410-1413, 2022.
我们报告了一例近期发生缺血性脑卒中的患者，其出现了喉弹响综合征，这是一种因头颈部运动而引发喉部咔嗒声的病症。诊断性影像学检查显示，甲状腺软骨的上脚发育异常且向后成角，可能对左侧颈总动脉造成了创伤。我们推断，甲状软骨对颈动脉的症状性撞击不仅是导致患者出现喉弹响综合征的原因，而且还怀疑是她之前发生中风的原因，这是由于反复创伤导致血栓形成。该患者接受了甲状软骨成形术和经颈入路左侧甲状软骨大角切除术治疗，其症状得到了缓解。甲状软骨的解剖位置移位可表现为喉弹响综合征，也可导致对颈动脉的机械性损伤，从而导致湍流、可能形成血栓和中风。《喉镜》，132:1410-1413，2022.
