谷状囊在一个年长的孩子中引起睡眠呼吸障碍
Dylan J Cooper1, Ron Mitzner2, Eric A Gantwerker3
1Department of Otolaryngology-Head and Neck Surgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Health, Hempstead, New York, USA dcooper12@northwell.edu.
BMJ case reports
|April 17, 2024
概括
儿科睡眠呼吸障碍 (SDB) 需要标准化的护理. 一个独特的案例凸显了彻底检查呼吸道的重要性,以检测潜在的结构性病变,如儿童的囊.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科睡眠医学 儿科睡眠医学
- 呼吸道疾病 呼吸道疾病
背景情况:
- 对于儿科睡眠呼吸障碍 (SDB) 需要标准化的护理指南.
- 谷状囊是一种罕见的先天性异常,可导致上呼吸道阻塞.
研究的目的:
- 介绍一个在SDB工作期间在中年儿童患者中发现的谷囊的独特案例.
- 强调在儿科SDB病例中进行完整上呼吸道检查的重要性.
- 讨论儿科SDB中的结构性病变的诊断和管理影响.
主要方法:
- 一个正在接受SDB检查的儿科患者的病例报告.
- 灵活的光纤喉腔镜用于呼吸道检查.
- 手术切除一个谷口囊.
- 后续检查以评估复发情况.
主要成果:
- 在一个患有SDB的儿科患者身上,鉴定出一个谷口囊,并成功切除了它.
- 手术后6个月,人们注意到一个可疑的复发.
- 重复的喉腔镜检查显示,在修复手术前,可疑的复发完全消失.
- 这突显了一些气道病变的动态性质.
结论:
- 完整的上呼吸道检查,包括内镜检查,对于识别SDB儿童的结构性病变至关重要.
- 虽然很少见,但在儿科SDB的差异诊断中应考虑状囊.
- 这一案例强调了儿童耳鼻喉科对于SDB管理的彻底诊断方案的需要.
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