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