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변형된 갑상연골에서 기인한 가성대 돌출 1예

A Case of Protrusion of False Vocal Fold Resulting from the Deformed Thyroid Cartilage

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초록

Trauma, congenital malformation and aging process can be a cause of the deviation of laryngeal prominence in the thyroid cartilage. Among these, the senility is the most common cause. Usually, ossification in the thyroid cartilage has occurred symmetrically, but the asymmetrical event leads to the shift of laryngeal prominence. Also, such deformity can provoke protrusion of false vocal fold. A 75-year-old man with hoarseness and globus sense in throat visited our clinic. Five years ago, he experienced a blunt trauma on left midline neck and had a concave deformity in the left thyroid cartilage lamina. Laryngoscopic findings revealed a marked protrusion in the left false vocal fold. We performed the laryngeal microsurgery to discriminate the tumorous condition. The pathology revealed non-pathologic mucosa. We report a unique and didactic case with a brief literature review.

Abstract

Trauma, congenital malformation and aging process can be a cause of the deviation of laryngeal prominence in the thyroid cartilage. Among these, the senility is the most common cause. Usually, ossification in the thyroid cartilage has occurred symmetrically, but the asymmetrical event leads to the shift of laryngeal prominence. Also, such deformity can provoke protrusion of false vocal fold. A 75-year-old man with hoarseness and globus sense in throat visited our clinic. Five years ago, he experienced a blunt trauma on left midline neck and had a concave deformity in the left thyroid cartilage lamina. Laryngoscopic findings revealed a marked protrusion in the left false vocal fold. We performed the laryngeal microsurgery to discriminate the tumorous condition. The pathology revealed non-pathologic mucosa. We report a unique and didactic case with a brief literature review.

참고문헌 (9)

  1. Naimo P, "The use of computed tomography in determining developmental changes, anomalies, and trauma of the thyroid cartilage", Forensic Sci Med Pathol, 9(3), pp.377~385 (2013)
  2. 남정권, "외상없이 인후두부 이물감을 유발한 갑상연골 상각 내전 2예", 대한이비인후-두경부외과학회지, 49(10), pp.1039~1041 (2006), 대한이비인후과학회
  3. Chang BA, "Buckled Thyroid Cartilage: An Anatomic Variant", J Voice
  4. Mupparapu M, "Ossification of laryngeal cartilages on lateral cephalometric radiographs", Angle Orthod, 75(2), pp.196~201 (2005)
  5. Fatterpekar GM, "Normal age-related signal change in the laryngeal cartilages", Neuroradiology, 46(8), pp.678~681 (2004)
  6. Park HJ, "Ossification Patterns of Laryngeal Cartilage Using CT Scan", Korean J Otorhinolaryngol-Head Neck Surg, 43(11), pp.1241~1246 (2000)
  7. Tanaka S, "Deformity of thyroid cartilage as a cause of false cord hypertrophy", Nihon Jibiinkoka Gakkai Kaiho, 88(8), pp.1027~1031 (1985)
  8. Kwon JH, "False Vocal Fold Hypertrophy Caused by Thyroid Cartilage Inward Bowing", J Korean Soc Laryngol Phoniatr Logop, 24(1), pp.51~54 (2013)
  9. 우현재, "성대 용종으로 오인된염증성 근섬유모세포종 1예", 대한이비인후-두경부외과학회지, 51(2), pp.206~208 (2008), 대한이비인후과학회

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