联合颈部和口腔内入路治疗舌甲状腺：一例报告
Combined cervical and intraoral approach to lingual thyroid: a case report.
作者信息
Zitsman J L, Lala V R, Rao P M
机构信息
Department of Surgery, Lincoln Medical and Mental Health Center, Bronx, New York 10451, USA.
出版信息
Head Neck. 1998 Jan;20(1):79-82. doi: 10.1002/(sici)1097-0347(199801)20:1<79::aid-hed13>3.0.co;2-k.
BACKGROUND
Lingual thyroid is a rare anomaly that may require surgical intervention. Lesions have been approached either via the neck or transorally. Advantages and limitations exist with each technique.
METHODS
A 10-year-old female on long-term suppression therapy for lingual thyroid developed progressive dysphagia; surgical excision was performed. Suprahyoid pharyngotomy was used to dissect the posterior limits of the tumor. Resection was completed via a transoral approach.
RESULTS
Cervical exposure allowed safe access to the posterior tumor margins. Transoral exposure permitted direct dissection of the anterior margin of the lesion, rendering complete excision simple.
CONCLUSION
A combined surgical approach to lingual thyroid is a safe technique that affords excellent visualization and facilitates resection.
背景
舌甲状腺是一种罕见的异常情况，可能需要手术干预。病变可通过颈部或经口入路进行处理。每种技术都有其优缺点。
方法
一名接受舌甲状腺长期抑制治疗的10岁女性出现进行性吞咽困难；遂行手术切除。采用舌骨上咽切开术来分离肿瘤的后缘。通过经口入路完成切除。
结果
颈部入路可安全抵达肿瘤后缘。经口入路能直接分离病变前缘，使完整切除变得简单。
结论
舌甲状腺联合手术入路是一种安全的技术，能提供良好的视野并便于切除。
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