■当甲状软骨的上角或顶部边缘与舌骨摩擦时,或者当这些结构摩擦颈椎时,发生点击喉综合征(CLS)。这是一种非常罕见的疾病,文献中仅报道了不到20例。患者很少提及过去的喉部损伤。存在时伴随疼痛的原因尚不清楚。黄金标准管理似乎是甲状腺整形手术,其中消除了产生咔嗒声的结构或减少了舌骨大角的大小。
方法:这里,我们介绍了一名42岁的男性患者,该患者有甲状腺乳头状微小癌病史,接受了左甲状腺切除术,出现了自发的持续无痛性咔嗒声和喉的异常咔嗒声运动.
CLS是一种非常罕见的疾病,全球报告的病例数量非常有限,大多数报道的病例显示出喉结构解剖异常。然而,我们的病人有正常的喉部结构,其中有多种诊断工具(即:计算机断层扫描,喉镜检查)未能披露病因异常来解释他的症状,也没有文献可以揭示任何以前报道的类似原因或解释我们患者的甲状腺恶性肿瘤或甲状腺切除术史与病情之间的因果关系。
结论:向轻度CLS患者解释这些点击噪声是安全的,并为他们提供有关最佳病例依赖性治疗的信息,以避免通常相关的焦虑和心理压力。需要进一步的观察和研究来分析甲状腺恶性肿瘤之间的关联,甲状腺切除术和CLS。
UNASSIGNED: When the superior cornu or the top edge of the thyroid cartilage rubs against the hyoid, or when these structures come to rub against the cervical spine, Clicking Larynx Syndrome (CLS) occurs. Which is a very rare disorder in that only less than 20 cases are reported in the literature. Patients seldom ever mention past laryngeal injuries. The cause of the accompanying pain when present is yet unknown. Gold standard management appears to be thyroplastic surgery in which the structures responsible for the clicking sounds are removed or reduction of the size of the large horn of the hyoid bone.
METHODS: Herein, we present a 42-year-old male patient with a history of papillary thyroid microcarcinoma treated with left thyroidectomy presented with a spontaneous continuous painless clicking noise and abnormal clicking movement of the larynx.
UNASSIGNED: CLS is a very rare condition with a very limited number of cases reported worldwide, most reported cases revealed abnormal laryngeal structural anatomy. However, our patient had normal laryngeal structures where multiple diagnostic tools (i.e.: Computed tomography, laryngoscopy) failed to disclose causative abnormality to explain his symptoms, nor literature could reveal any previously reported similar causes or explain the causative relationship between our patient\'s history of thyroid malignancy or thyroidectomy with his condition.
CONCLUSIONS: It is crucial to explain to patients with mild CLS that these clicking noises are safe and to provide them with information on the best possible case-dependent treatments to avoid the usually associated anxiety and psychological stress. Further observations and research are needed to analyze the association between thyroid malignancy, thyroidectomy and CLS.