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喉咽肿物:甲状腺肿物导致甲状腺软骨上角的压迫效应

A Laryngopharyngeal Mass: Pressure Effect of the Superior Cornu of the Thyroid Cartilage Induced by a Thyroid Mass.

作者信息

Abdul Razak Siti Farhana, Azman Mawaddah, Ping Loong Siow

机构信息

Department of Otorhinolaryngology, Queen Elizabeth Hospital, Sabah, Malaysia.

Department of Otorhinolaryngology-Head and Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.

出版信息

Oman Med J. 2024 Jul 31;39(4):e656. doi: 10.5001/omj.2024.23. eCollection 2024 Jul.

Abstract

The superior cornu of the thyroid cartilage is a versatile structure, and anatomical variations can lead to diverse clinical presentations. We describe a case of a patient with a medialized superior part of the thyroid cartilage caused by pressure from a large thyroid mass, detected during laryngoscopy before thyroidectomy. A neck computed tomography scan revealed an elongated and medially displaced superior cornu of the right thyroid cartilage, resulting from the push exerted by the right thyroid mass. As the patient remained asymptomatic and refused surgical intervention, no further consideration was given to surgically addressing the medialized superior thyroid cornu.

摘要

甲状软骨上角是一个多功能结构,解剖变异可导致多种临床表现。我们描述了一例患者,在甲状腺切除术前的喉镜检查中发现,其甲状软骨上部因受巨大甲状腺肿块压迫而向内侧移位。颈部计算机断层扫描显示,右侧甲状腺肿块的推挤导致右侧甲状软骨上角拉长并向内侧移位。由于患者无症状且拒绝手术干预,未进一步考虑手术处理甲状软骨上角内侧化问题。

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