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題 名 | A Huge Epiglottic Cyst Causing Airway Obstruction in an Adult=巨大會厭囊腫引起之成人呼吸道阻塞 |
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作 者 | 方端仁; 鄭嘉遜; 李學禹; | 書刊名 | 長庚醫學 |
卷 期 | 25:4 2002.04[民91.04] |
頁 次 | 頁275-278 |
分類號 | 416.894 |
關鍵詞 | 會厭囊腫; 呼吸道阻塞; Epiglottic cyst; Airway obstruction; |
語 文 | 英文(English) |
中文摘要 | 成人會厭囊腫造成呼吸道阻塞者極為少見,正確的診斷及處置可避免不必要的氣切。本文提出一例報告,並就其病史及治療方式提出討論。病患為64歲女性,因長期喉部異物感及運動性喘鳴到院求診。側頸部X光攝影及電腦斷層掃描檢查發現會厭軟骨上方有一囊狀腫塊。我們於全身麻醉下,置入喉鏡,先以長針吸取內含物後,再以二氧化碳雷射將其完全切除,囊腫約2.5×3.0公分。病患術後症狀即好轉且無併發症,經追蹤六個月囊腫無復發跡象。由於成人會厭囊腫易被臨床醫師忽略且持常引起嚴重併發症,因此我們建議,對藥物反應不佳之阻塞性呼吸道疾病患者,應例行作喉部檢查,以早期診斷,而對阻塞呼吸道之巨大會厭囊腫,以內視鏡雷射手術切除可得到良好的效果。 |
英文摘要 | An epiglottic cyst causing airway obstruction is rare in an adult. Early definitive diagnosis and management obviate an unnecessary tracheostomy. We report a case of a 64-year-old woman who arrived at out hospital with progressive stridor and foreign body sensation when swallowing for 6 weeks. A hot potato voice and biphasic stridor were remarkable upon physical examination. Indirect mirror and fibroscopic examination revealed a huge epiglottic cyst. The neck lateral X-ray and computed tomography scan demonstrated a huge cystic mass over the epiglottis. A 2.5×3.0 cm cystic mass was removed with endoscopic CO2 laser after needle decompression. The patient was discharged on the third day after surgery without complications. An epiglottic cyst in an adult seldom causes upper airway obstruction and is easily ignored by clinicians. We emphasize that complete airway evaluation including routine check-up of the laynx is mandatory for patients with intractable obstructive airway disease. Endoscopic laser surgery is effective in the surgical removal of an epiglottic cyst. |
本系統中英文摘要資訊取自各篇刊載內容。