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患儿,男,6岁,因吸气困难5年于2012年10月入我院治疗。问诊其母知此患儿1岁时发现呼吸费力,夜间明显,5岁时当地诊断“双侧扁桃体肥大”行双侧扁桃体切除术,术后吸气困难无改善。遂行喉部CT检查发现杓区一类圆形低密度肿物影,边缘光滑,内部密度不均匀(图1)。进一步查纤维喉镜提示,喉入口处可见一基底位于杓区,向喉入口处突出的新生物,表面光滑,堵塞喉入口处约4/5,双侧声带、室带均未窥及。初步诊断为:先天性喉囊肿。行常规化验检查无手术禁忌,在全麻下行支撑喉镜下喉肿物切除术。术中见杓
Children, male, 6 years old, admitted to our hospital for treatment of insomnia for 5 years in October 2012. Ask their mother to know the child was breathing strenuous at 1 year old, obviously at night, 5 years old local diagnosis “bilateral tonsillar hypertrophy ” line bilateral tonsillectomy, no improvement of postoperative inspiratory difficulty. Throat CT examination revealed a class of round low-density scoop swollen shadow, smooth edges, the internal density is not uniform (Figure 1). Further investigation of fiber laryngoscope tips, the throat entrance can be seen at the base is located in the spoon area, to the throat entrance prominent new creatures, smooth surface, blocking the entrance of the throat about 4/5, bilateral vocal cord, ventricular band were not seen. The initial diagnosis is: congenital laryngeal cyst. Routine laboratory tests without surgery contraindications to laryngoscope under general anesthesia under laryngectomy. See the dipper surgery