巨大下咽囊肿1例并文献复习

Giant Hypopharyngeal Cyst: A Case Report and Literature Review

摘要: 下咽囊肿是耳鼻咽喉科的常见病，但巨大的下咽囊肿在临床上较为少见，其临床表现以咽部异物感、梗阻感、呼吸不畅甚至窒息为主，主要的治疗方式是手术治疗，术中往往存在术野暴露及麻醉插管等难题，现将我院一例采用全麻纤支镜下经鼻气管插管，支撑喉镜下内窥镜辅助下用可伸缩针状电刀切除巨大下咽囊肿的手术方式治疗的病例报道如下，以供大家参考。

Abstract: Hypopharyngeal cyst is a common disease in Otolaryngology, but huge hypopharyngeal cyst is rare in clinic. Their clinical manifestations are mainly Pharyngeal foreign body sensation, obstruction, poor breathing and even asphyxia. Surgical treatment is the main treatment method. During oper-ation, there are many difficulties such as operation field exposure and anesthesia intubation. Here is a case report of a patient treated by transnasal endotracheal intubation under fiberoptic bron-choscope under general anesthesia and resection of huge hypopharyngeal anorexic cyst with re-tractable needle scalpel assisted by endoscope under supporting laryngoscope in our hospital, for your reference.