Malformaiile faringelui

Dan Cristian Gheorghe

Insuficienta velo-palatina
Congenitala
Secundara (dobandita)
Tratament:
UPPP
logopedie

Palatoschizis
Izolat
In cadrul unor sindroame congenitale
Pierre-Robin

Maladia Crouzon

Tiroida ectopic
Defect de coborre a glandei tiroide n viaa
fetal
Incidena:
Raport pe sexe: 3-4/1 (femei)
1:4000 1:8000

Localizri

Baza limbii
Submandibular
Laringian
Traheal
Mediastinal
Esofagian
Mediastinal
Intracardiac

Clinic

1.

Asimptomatic
Senzaie de corp strin
Dispnee
Disfonie
Hemoragii severe(1)

Chiu, T. T., et al. (2002). "Massive bleeding from an ectopic lingual thyroid follicular adenoma during
pregnancy." Am J Otolaryngol 23(3): 185-188.

Explorri
Dozare hormoni tiroidieni: T3, T4, fraciile
libere de T3 i T4, TSH
Ecografia regiunii cervicale
Scintigrafia cu Tc-99m
CT, RMN (n indicaii chirurgicale)
Biopsia aspirativ cu ac fin (+/- ecografie)?

Tratament
Monitorizare pacient asimptomatic
Exerez chirurgical:
Hemoragii severe
Tulburari de respiraie/deglutiie
Malignizare

Evoluie
Risc malignizare crescut (discuii)?(1,2)

1.
2.

Cherif, L., et al. (2004). "[Ectopic thyroid: two cases]." Ann Endocrinol (Paris) 65(3): 233-237.
Klubo-Gwiezdzinska, J., et al. (2011). "Clinical review: Ectopic cervical thyroid carcinoma--review of the
literature with illustrative case series." J Clin Endocrinol Metab 96(9): 2684-2691.

Chistele latero-cervicale
(branhiale)
Pe marginea anterioara a scm
Tratament: chirurgical

Chistul de tract tireoglos

Fistula de tract tireoglos