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Malformațiile faringelui Dan Cristian Gheorghe

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  • 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

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

    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. Cherif, L., et al. (2004). "[Ectopic thyroid: two cases]." Ann Endocrinol (Paris) 65(3): 233-237. 2. 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