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首页> 外文期刊>Otolaryngology Case Reports >Epiglotic anomaly yields reduced airway protection in an infant
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Epiglotic anomaly yields reduced airway protection in an infant

机译：表达异常在婴儿中产生降低的气道保护

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Proper laryngeal anatomy is crucial for airway protection. Congenital malformations of the airway are one cause of respiratory distress in children. An almost 5 month old male presented with increased work of breathing and worsening cough. Laryngoscopy showed the entire lingual surface of the epiglottis was tethered/compressed/grown to the base of tongue and was curled into a slight omega-shape. The arytenoid cartilages also hooded the glottis. The patient had airway collapse and did not have any visible tracheal rings consistent with severe tracheomalacia. A wedge-sling combination for sleeping, continuation of reflux medications, and follow up with the nutrition and feeding team were recommended. Direct laryngoscopy follow-up, sixteen months later, revealed floppy shortened epiglottis with more disconnect between the base of tongue and epiglottis. Moderate tracheomalacia with posterior collapse and right mainstem lateral collapse was also noted, with nearly complete resolution of his symptoms.
机译：适当的喉部解剖结构对于气道保护至关重要。气道的先天性畸形是儿童呼吸窘迫的一个原因。一个近5个月大的男性提出了呼吸和恶化的呼吸工作。喉镜检查表明，Epiglottis的整个舌状表面被系重/被压缩/生长到舌底，并卷曲成轻微的ω形。骨盆软骨也蒙着光泽。患者有气道崩溃，没有任何与严重的气管癌一致的可见气管环。建议睡眠，延续回流药物，随访，随访营养和喂养团队进行楔形吊索组合。直接喉镜随访，十六个月后，揭示了舌头和外膜底部之间的脱离的软盘缩短的外延。还注意到中度气管癌，并注意到右侧主干侧重倒塌，几乎完全解决了他的症状。

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