Öz
The lingual tonsils, members of VValdeyer’s ring, are often overlooked even in a thorough head and neck examination. A 39-year old man with one-year histo- ry of globus sensation was admitted to our clinic. İn his indirect laryngoscopic examination, symmetrical masses of lingual tonsillar tissue were detected extending posteriorly from base of the tongue that was confirmed with magnetic resonance imaging.The patient refused surgical intervention. Acute inflammation and hypertrophy of lingual tonsil can cause life-threatening airway obstruction. İn order to draw attention to this frequently unrecognized entity, we present a review of the literatüre and our case.
Anahtar Kelimeler
Asphyxia/pathology/etiology tongue/pathology/hypertrophy tonsil/pathology/hypertrophy
Kaynakça
- Fitzgerald P, O’Connell D. Massive hypertrophy of the lingual tonsils: an unusual cause of dysphagia. Br J Radiol 1987;60:505-6.
- Golding-Wood DG, Whittet HB. The lingual tonsil. A neglected symptomatic structure? J Laryngol Otol 1989;103:922-5.
- Lewis M, McClay JE, Schochet P. Lingual tonsillecto- my for refractory paroxysmal cough. Int J Pediatr Otorhinolaryngol 2000;53:63-6.
- Lehrer JF. Hypertrophic lingual tonsils and cough. West J Med 1986;144:229.
- Cohle SD, Jones DH, Puri S. Lingual tonsillar hyper- trophy causing failed intubation and cerebral anoxia. Am J Forensic Med Pathol 1993;14:158-61.
- Davies S, Ananthanarayan C, Castro C. Asymptomatic lingual tonsillar hypertrophy and difficult airway management: a report of three cases. Can J Anaesth 2001;48:1020-4.
- Dindzans LJ, Irvine BW, Hayden RE. An unusual case of airway obstruction. J Otolaryngol 1984;13:252-4.
- Guarisco JL, Littlewood SC, Butcher RB 3rd. Severe upper airway obstruction in children secondary to lin- gual tonsil hypertrophy. Ann Otol Rhinol Laryngol 1990;99:621-4.
- Dundar A, Ozunlu A, Sahan M, Ozgen F. Lingual ton- sil hypertrophy producing obstructive sleep apnea. Laryngoscope 1996;106(9 Pt 1):1167-9.
- Willatt D, Youngs R. The value of soft tissue radiogra- phy in the assessment and treatment of lingual tonsil- lar hypertrophy. J Laryngol Otol 1984;98:1217-9.
- Aspestrand F, Kolbenstvedt A, Boysen M. CT findings in benign expansions of the larynx. J Comput Assist Tomogr 1989;13:222-5.
Öz
Waldeyer halkasının üyesi olan lingual tonsiller tam bir baş-boyun muayenesinde bile sıklıkla gözden kaçmaktadırlar. Otuz dokuz yaşında bir erkek bir yıldır olan takılma hissi ile kliniğimize başvurdu. İn- direk larengoskop muayenesinde simetrik lingual tonsiller farkedildi, kitlelerin manyetik rezonans gö- rüntüleme ile de desteklenerek dil kökünden uzan- dığı gözlendi. Hasta cerrahi müdahaleyi kabul et- medi. Lingual tonsilin akut enflamasyonu ve hipert- rofisi hayatı tehdit edici havayolu obstrüksiyonuna sebep verebilir. Sıklıkla farkedilmeyen bu konuya dikkat çekmek amacıyla literatür derlemesini ve olgumuzu sunuyoruz
Anahtar Kelimeler
Asfiksi/patoloji/etyoloji dil/patoloji/ hipertrofi tonsil/patoloji/ hipertrofi.
Kaynakça
- Fitzgerald P, O’Connell D. Massive hypertrophy of the lingual tonsils: an unusual cause of dysphagia. Br J Radiol 1987;60:505-6.
- Golding-Wood DG, Whittet HB. The lingual tonsil. A neglected symptomatic structure? J Laryngol Otol 1989;103:922-5.
- Lewis M, McClay JE, Schochet P. Lingual tonsillecto- my for refractory paroxysmal cough. Int J Pediatr Otorhinolaryngol 2000;53:63-6.
- Lehrer JF. Hypertrophic lingual tonsils and cough. West J Med 1986;144:229.
- Cohle SD, Jones DH, Puri S. Lingual tonsillar hyper- trophy causing failed intubation and cerebral anoxia. Am J Forensic Med Pathol 1993;14:158-61.
- Davies S, Ananthanarayan C, Castro C. Asymptomatic lingual tonsillar hypertrophy and difficult airway management: a report of three cases. Can J Anaesth 2001;48:1020-4.
- Dindzans LJ, Irvine BW, Hayden RE. An unusual case of airway obstruction. J Otolaryngol 1984;13:252-4.
- Guarisco JL, Littlewood SC, Butcher RB 3rd. Severe upper airway obstruction in children secondary to lin- gual tonsil hypertrophy. Ann Otol Rhinol Laryngol 1990;99:621-4.
- Dundar A, Ozunlu A, Sahan M, Ozgen F. Lingual ton- sil hypertrophy producing obstructive sleep apnea. Laryngoscope 1996;106(9 Pt 1):1167-9.
- Willatt D, Youngs R. The value of soft tissue radiogra- phy in the assessment and treatment of lingual tonsil- lar hypertrophy. J Laryngol Otol 1984;98:1217-9.
- Aspestrand F, Kolbenstvedt A, Boysen M. CT findings in benign expansions of the larynx. J Comput Assist Tomogr 1989;13:222-5.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 10 Şubat 2004 |
| Yayımlandığı Sayı | Yıl 2004 Cilt: 13 Sayı: 1 |