Alrashdan Hisham, Alshugran Khaldoun, Alshiyyab Osama M, Khasawneh Jawad F, Ibrahim Ethar N
Otolaryngology Unit, Royal Medical Services, Irbid, JOR.
Anesthesiology Unit, Royal Medical Services, Irbid, JOR.
Cureus. 2024 Feb 21;16(2):e54634. doi: 10.7759/cureus.54634. eCollection 2024 Feb.
Epiglottic cysts are benign lesions of the larynx that are relatively rare beyond infancy age. A 17-year-old adolescent male patient presented to the outpatient specialized oropharyngeal clinic with inspiratory stridor, chronic sore throat, and progressive dyspnea symptoms over the past eight months. Examination by a headlight and a tongue depressor showed a large cystic lesion arising from the hypopharynx. A neck computed tomography (CT) scan revealed a 4 cm oval cyst attached to the lingual epiglottic surface. The relatively large epiglottic cyst was drained directly in the clinic and was later removed by microlaryngosurgery with traditional microinstrumentation in a follow-up visit. Subsequent recovery was uneventful. Regardless of the rarity of epiglottic cysts in adolescents, doctors should keep in mind this etiology as early diagnosis and management could spare the patient from life-threatening complications or tracheostomy and unneeded medical costs.
会厌囊肿是喉部的良性病变，在婴儿期之后相对少见。一名17岁的青少年男性患者因吸气性喘鸣、慢性咽痛以及在过去八个月中逐渐加重的呼吸困难症状，就诊于门诊专门的口咽诊所。使用头灯和压舌板检查发现下咽有一个大的囊性病变。颈部计算机断层扫描（CT）显示一个4厘米的椭圆形囊肿附着于会厌舌面。这个相对较大的会厌囊肿在诊所直接进行了引流，随后在随访中通过传统显微器械进行了显微喉镜手术切除。术后恢复顺利。尽管青少年会厌囊肿罕见，但医生应牢记这一病因，因为早期诊断和治疗可使患者避免危及生命的并发症或气管切开术以及不必要的医疗费用。
