首个被报告的点击喉综合征病例,由于乳头甲状腺癌导致甲状腺切除术复杂化
Yumna Njoum1, Amal Obeid2, Tawfiq AbuKeshek3
1Faculty of Medicine, Al-Quds University, Jerusalem, Palestine.
International journal of surgery case reports
|July 8, 2023
概括
点击喉综合征 (CLS) 是一种罕见的疾病,其中喉结构会引起点击声音. 这种病例突出了一个具有正常解剖学的患者,这表明甲状腺癌史和CLS之间存在潜在联系,需要进一步研究.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 喉疾病 喉疾病
- 手术解剖学手术解剖学
背景情况:
- 点击喉综合征 (CLS) 是一种罕见的疾病,其特点是喉结构的摩擦,通常与结构异常有关.
- 全球记录的病例不到20例,对疼痛病因或喉创伤等倾向因素的了解有限.
研究的目的:
- 呈现一个单一的CLS病例,患者有甲状腺小瘤和甲状腺切除术的病史.
- 调查潜在的CLS新病因,特别是在没有典型的解剖异常的情况下.
主要方法:
- 一个42岁的男性出现了自发的,无痛的喉点击和运动的病例报告.
- 利用诊断成像 (CT) 和喉腔镜,揭示了正常的喉结构.
主要成果:
- 患者表现出CLS的症状,尽管他的喉解剖结构正常.
- 标准的诊断工具未能确定点击的原因,现有的文献也无法解释与先前的甲状腺恶性瘤或手术的关联.
结论:
- 结核性喉硬化症非常罕见,这种病例呈现出正常喉解剖学的非典型发现.
- 需要进一步的研究来探索甲状腺恶性瘤,甲状腺切除术和CLS的发展之间的潜在关联.
- 关于轻度CLS良性和可用的治疗方法的患者教育对于管理相关的心理痛苦至关重要.
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