-
摘要: 声门下囊肿是婴幼儿喉鸣的一种少见病因,国内外见少量相关报道。本文报道南京医科大学附属儿童医院诊治3例声门下囊肿患儿的临床特征及诊疗经验。3例患儿均为早产儿,均有气管插管史,症状主要为咳喘,电子鼻咽喉镜检查见声门下见球形新生物。颈部CT呈稍低密度影,边界欠清,增强后未见明显强化。治疗支撑喉镜下钳夹咬除新生物,低温等离子烧灼囊壁。术后随访均未复发。Abstract: Subglottic cyst is a rare cause of laryngeal tinnitus in infants and young children, and only a few cases have been reported at home and abroad. In this paper, we report the clinical characteristics and treatment experience of three cases of subglottic cysts in Children's Hospital of Nanjing Medical University. All the 3 childrem were prematurechildren, with a history of tracheal intubation, and the main symptoms were coughing and wheezing.Electronic nasopharyngolaryngoscopy revealed spherical neoplasm under the glottis. Neck computed tomography (CT) showed a slightly hypodense shadow with poorly defined borders, and no significant enhancement was observed after enhancement. Under the self-retaining laryngoscope, the new organisms were clamped and nibbled, and the cyst wall was cauterized by low temperature plasma. There was no recurrence in postoperative follow-up.
-
Key words:
- subglottic cyst /
- premature delivery /
- infants and young children /
- laryngeal stridor
-
-
[1] 刘薇, 张杰, 唐力行. 儿童声门下区肿物诊治方法的探讨[J]. 临床耳鼻咽喉头颈外科杂志, 2015, 29(3): 252-254. https://lceh.whuhzzs.com/article/doi/10.13201/j.issn.1001-1781.2015.03.016
[2] Wigger HJ, Tang P. Fatal laryngeal obstruction by iatrogenic subglottic cyst[J]. J Pediatr. 1968, 72(6): 815-820. doi: 10.1016/S0022-3476(68)80434-2
[3] Pak MW, Woo JK, van Hasselt CA. Congenital laryngeal cysts: current approach to management[J]. J Laryngol Otol, 1996, 110(9): 854-856. doi: 10.1017/S0022215100135157
[4] Vo DN. Anesthesia for patients with subglottic cysts[J]. Clin Case Rep, 2016, 4(2): 209-211. doi: 10.1002/ccr3.478
[5] Halimi C, Nevoux J, Denoyelle F, et al. Acquired subglottic cysts: management and long term outcome[J]. Int J Pediatr Otorhinolaryngol, 2012, 76(4): 589-592. doi: 10.1016/j.ijporl.2012.01.023
[6] 刘帅帅, 王超, 李娟, 等. 声门下囊肿5例[J]. 中华实用儿科临床杂志, 2021, 36(2): 134-136.
[7] 赵小娅, 滕以书, 李泽南, 等. 超低出生体重儿继发声门下囊肿一例[J]. 中华耳鼻咽喉头颈外科杂志, 2020, 55(10): 972-973.
[8] Bowles PFD, Reading J, Albert D, et al. Subglottic cysts: The Great Ormond Street experience in 105 patients[J]. Eur Arch Otorhinolaryngol, 2021, 278(6): 2137-2141. doi: 10.1007/s00405-020-06321-z
[9] Soloperto D, Spinnato F, Di Gioia S, et al. Acquired subglottic cysts in children: A rare and challenging clinical entity. A systematic review[J]. Int J Pediatr Otorhinolaryngol, 2021, 140: 110523. doi: 10.1016/j.ijporl.2020.110523
[10] Gould SJ, Young M. Subglottic ulceration and healing following endotracheal intubation in the neonate: a morphometric study[J]. Ann Otol Rhinol Laryngol, 1992, 101(10): 815-820. doi: 10.1177/000348949210101003
[11] Hawkins DB. Pathogenesis of subglottic stenosis from endotracheal intubation[J]. Ann Otol Rhinol Laryngol, 1987, 96(1 Pt 1): 116-117.
[12] Steehler MK, Groblewski JC, Milmoe GJ, et al. Management of subglottic cysts with Mitomycin-C-A case series and literature review[J]. Int J Pediatr Otorhinolaryngol, 2011, 75(3): 360-363. doi: 10.1016/j.ijporl.2010.12.005
[13] Aksoy EA, Elsürer C, Serin GM, et al. Evaluation of pediatric subglottic cysts[J]. Int J Pediatr Otorhinolaryngol, 2012, 76(2): 240-243. doi: 10.1016/j.ijporl.2011.11.012
[14] Richardson MA, Winford TW, Norris BK, et al. Management of pediatric subglottic cysts using the Bugbee fulgurating electrode[J]. JAMA Otolaryngol Head Neck Surg, 2014, 140(2): 164-168. doi: 10.1001/jamaoto.2013.6122
[15] Watson GJ, Malik TH, Khan NA, et al. Acquired paediatric subglottic cysts: a series from Manchester[J]. Int J Pediatr Otorhinolaryngol, 2007, 71(4): 533-538. doi: 10.1016/j.ijporl.2006.11.014
[16] Zawadzka-Glos L, Frackiewicz M, Brzewski M, et al. Difficulties in diagnosis of laryngeal cysts in children[J]. Int J Pediatr Otorhinolaryngol, 2009, 73(12): 1729-1731. doi: 10.1016/j.ijporl.2009.09.010
[17] 陈伟, 陈佳瑞, 陈淑梅, 等. 普萘洛尔治疗婴幼儿声门下血管瘤的疗效分析[J]. 临床耳鼻咽喉头颈外科杂志, 2022, 36(1): 55-58. https://lceh.whuhzzs.com/article/doi/10.13201/j.issn.2096-7993.2022.01.012
[18] 孙晓卫, 刘小芳, 房玉辉, 等. 彩色多普勒血流显像技术在婴幼儿先天性声门下血管瘤中的应用[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(4): 321-324. https://lceh.whuhzzs.com/article/doi/10.13201/j.issn.2096-7993.2021.04.008
[19] Lim J, Hellier W, Harcourt J, et al. Subglottic cysts: the Great Ormond Street experience[J]. Int J Pediatr Otorhinolaryngol, 2003, 67(5): 461-465.
-