关键词: Hamartoma Lipoma Retropharynx Stridor Trans-oral excision

来  源:   DOI:10.22038/IJORL.2022.64205.3197   PDF(Pubmed)

Abstract:
UNASSIGNED: Lipomas of the of the head and neck region are rare, more so in the retropharyngeal space. Lipomas in this region can produce symptoms that demand surgical excision. This paper describes a case of lipomatous hamartoma of the retropharynx, which to the best of our knowledge has not yet been reported in English literature.
UNASSIGNED: A 53-year-old gentleman presented to the ENT department with snoring, voice change and stridor. Examination revealed a smooth bulge in the posterior wall of the oropharynx causing near complete obstruction of the airway. A contrast enhanced computed tomogram revealed a non-enhancing hypodense lesion in the retropharyngeal space extending from C1-C4 level, which was suggestive of a lipoma. The tumour was surgically excised trans-orally. A limited review of literature is also presented.
UNASSIGNED: Trans-oral approach is preferred to external approach for surgical removal of benign retropharyngeal tumours that cause obstructive symptoms, as our case. This approach is safe, effective, and associated with lesser post-operative morbidity.
摘要:
未经证实:头颈部脂肪瘤罕见,在咽后空间更是如此。该区域的脂肪瘤可产生需要手术切除的症状。本文描述了咽后脂肪瘤性错构瘤的病例,据我们所知,这在英国文学中还没有报道。
未经授权:一位53岁的绅士因打鼾而出现在耳鼻喉科,声音变化和喘鸣。检查显示口咽后壁有光滑的凸起,导致气道几乎完全阻塞。对比增强的计算机断层扫描显示咽后间隙中从C1-C4水平延伸的非增强低密度病变,暗示是脂肪瘤.经口手术切除肿瘤。还介绍了有限的文献综述。
未经证实:对于引起阻塞性症状的咽后良性肿瘤的手术切除,经口入路优于外路入路,作为我们的案例。这种方法是安全的,有效,并与较低的术后发病率相关。
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