Kaneko K, Takahashi K, Unno A, Takagi M, Maruyama T, Obinata K, Tsuchihashi N, Kawashiro N, Sakai H
Department of Pediatrics, Koshigaya Municipal Hospital, Saitama, Japan.
Acta Paediatr Jpn. 1997 Aug;39(4):475-7. doi: 10.1111/j.1442-200x.1997.tb03622.x.
Two infants, 5 and 12 weeks of age, with lingual cysts were presented. Histological findings were compatible with a salivary retention cyst in one and a thyroglossal duct cyst in the other. Both infants were admitted to our hospital because of severe stridor that had developed from one to two weeks of age. Their lingual cysts were easily recognizable by simple palpation and were confirmed by non-invasive imaging techniques, such as ultrasound sonography, computed tomography and magnetic resonance imaging. Lingual cyst in infancy may be large enough to cause stridor and dyspnea, and occasionally result in sudden infant death, although once diagnosis is made a radical operation can be easily performed. Therefore, it is important that palpation in the oral cavity should be performed with all infants with persistent stridor as a part of a physical examination.
本文报告了两名患有舌囊肿的婴儿，年龄分别为5周和12周。组织学检查结果显示，一名婴儿的囊肿为唾液潴留囊肿，另一名为甲状舌管囊肿。两名婴儿均因出生后1至2周出现严重喘鸣而入院。通过简单触诊即可轻松识别其舌囊肿，并经超声、计算机断层扫描和磁共振成像等非侵入性成像技术得以证实。婴儿期舌囊肿可能大到足以引起喘鸣和呼吸困难，偶尔还会导致婴儿猝死，不过一旦确诊，即可轻松进行根治性手术。因此，对于所有持续喘鸣的婴儿，在体格检查时进行口腔触诊非常重要。
