Patel Dhruv, Ostrowski Tyler J, Faraz Maria, Gildener-Leapman Neil
Department of Otolaryngology, State University of New York Upstate Medical University, Syracuse, USA.
Department of Otolaryngology - Head and Neck Surgery, Albany Medical Center, Albany, USA.
Cureus. 2022 Mar 2;14(3):e22781. doi: 10.7759/cureus.22781. eCollection 2022 Mar.
Dermoid cysts are benign masses of embryologic origin that can present in various anatomical locations throughout the human body. This article presents the case of a 30-year-old male who presented to our emergency department with complaints of tongue swelling accompanied by worsening dysphagia and dysphonia in the context of a chronic, midline mass in the floor of the mouth. Computed tomography (CT) imaging and surgical pathology of the mass ultimately revealed findings consistent with a dermoid cyst causing inferior displacement of the mylohyoid muscle. Initial management consisted of bedside drainage to temporize the airway, with marsupialization and in-office follow-up. Definitive treatment was achieved with surgical excision at a later date.
皮样囊肿是起源于胚胎的良性肿物，可出现在人体各处的不同解剖位置。本文介绍了一名30岁男性的病例，该患者因口底慢性中线肿物，出现舌肿胀并伴有吞咽困难和声音嘶哑加重，前来我院急诊科就诊。肿物的计算机断层扫描（CT）成像及手术病理最终显示结果与导致下颌舌骨肌向下移位的皮样囊肿相符。初始治疗包括床边引流以暂时维持气道通畅，并进行袋形缝合术及门诊随访。最终在日后通过手术切除实现了根治性治疗。
