Epiglottis cyst
Introduction
Introduction to epiglottic cyst Epiglottic cysts are often caused by obstruction of mucous gland ducts of the epiglottis or congenital malformations of the throat. Can be divided into congenital epiglottic cysts and acquired episodes of cysts. The former is also called a laryngeal mucus cyst, which is caused by the enlargement of the larynx and the filling of mucus. The latter are common with retention cysts and epidermoid cysts, which are caused by chronic inflammation, mechanical irritation and trauma. It occurs mostly in epiglottis, epiglottis and epiglottis, and may be due to the presence of mucous glands in these areas. Other parts of the larynx can also occur but are rare. basic knowledge The proportion of illness: 0.005% Susceptible people: no specific population Mode of infection: non-infectious Complications: fainting shock
Cause
Epiglottic cyst
Can be divided into congenital epiglottic cysts and acquired episodes of cysts. The former is also called a laryngeal mucus cyst, which is caused by the enlargement of the larynx and the filling of mucus. The latter are common with retention cysts and epidermoid cysts, which are caused by chronic inflammation, mechanical irritation and trauma.
Congenital factors (30%)
Epiglottic cysts can be divided into congenital epiglottic cysts and acquired episodes of cysts. Congenital epiglottic cysts are often caused by congenital malformations of the throat. Also known as laryngeal mucus cyst, the disease is caused by enlarged laryngeal sac and filled with mucus.
Infection (40%)
Accompanied epidural cysts are common with retention cysts and epidermoid cysts, which are commonly caused by chronic inflammation of the larynx causing mucous gland obstruction of the epiglottis. It occurs mostly in epiglottis, epiglottis and epiglottis, and may be due to the presence of mucous glands in these areas. Other parts of the larynx can also occur but are rare.
Trauma (20%)
Epiglottic cysts can also be caused by mechanical irritation and trauma.
Prevention
Epiglottic cyst prevention
1. Patients with epiglottic cysts should develop good living habits, ensure adequate sleep time, increase or decrease clothes in time, and remove indoor humid air. For sick children, develop a good habit of not picky eaters, but not food.
2. Insist on exercising and improve the body's ability to resist disease. Do not overwork. If you are tired, you should adjust your rest in time. Excluding alcohol and tobacco is an important point in preventing epiglottis cysts.
3. Suffering from episodes of cysts should be completely cured, so as not to leave behind.
4. Prevention of various infectious diseases and epidemics. Flowing food or semi-liquid food, the fever is high, and the bath is cleaned with alcohol to help cool down.
Complication
Epiglottic cyst complications Complications faint shock
When the epiglottis is highly edematous, the glottis becomes small, and the phlegm is blocked, and breathing difficulties occur. In severe cases, suffocation may occur.
The condition progressed rapidly, the spirit was weak, the physical strength was weak, the limbs were cold, the pulse was fast and thin, the blood pressure dropped, and even the fainting, shock.
Symptom
Symptoms of epiglottic cysts Common symptoms Throat edema throat obstruction throat itching cough throat sore throat enlargement
Generally more asymptomatic, often found in the throat examination, a small number of large cysts may have throat discomfort, irritating cough, congenital epiglottis cyst can cause neonatal or infant laryngeal obstruction symptoms, there are reports that adult giant cysts can also cause gas Obstruction of the road. Indirect laryngoscopy or hard laryngoscopy at the uvula can be found to be hemispherical, with a wide pedicle and a smooth surface, grayish white, light yellow or reddish.
Examine
Examination of epiglottis cysts
Routine physical examination: patients can complain of sore throat, if they involve glottis, they may have hoarseness or cough, even breathing difficulties, especially congenital cysts in newborns or infants. In the laryngeal room, they often show difficulty in breathing and wheezing, and crying is weak. Mixed, pharyngeal examination showed obvious epiglottis swelling and spheroidal, obvious congestion.
Laboratory tests: blood routine, C-reactive protein, erythrocyte sedimentation rate, pharyngeal secretion examination, etc.
Laryngoscopy: Indirect laryngoscopy or hard laryngoscopy at the uvula can be found to be hemispherical, with a wide pedicle and a smooth surface, grayish white, light yellow or reddish.
Diagnosis
Diagnosis and differentiation of epiglottis cyst
diagnosis
Diagnosis can be performed according to clinical manifestation and examination.
Differential diagnosis
Laryngeal tracheobronchitis:
1. Acute onset, first symptoms of upper respiratory tract infection, followed by asthma, dry cough, hoarseness, throat and difficulty breathing.
2. Fever, progressive deterioration of the condition, progressive difficulty in breathing, irritability, and even convulsions or coma.
3. Laryngoscopy or bronchoscopy. Under the glottis and glottis, the tracheobronchial mucosa is red and swollen, with secretions and even pseudomembranes.
4. Lung breath sounds are reduced, there is dry rales, chest X-ray examination texture becomes thicker, sometimes a little flaky shadow.
5. Should be differentiated from throat diphtheria, respiratory foreign body, bronchial asthma.
Laryngeal edema: Consult your medical history, perform necessary throat and general examination, and identify laryngeal edema as infectious or non-infectious. Allergic, hereditary vascular neuropathy, sudden onset, accompanied by facial edema and itching, a history of recurrent attacks.
Pharyngeal diphtheria: According to the history, symptoms and signs, combined with bacteriological examination, the diagnosis is more difficult. However, a negative test can not rule out the disease, should be repeated many times, if necessary, the Sikh test and virulence test can be used for early diagnosis. If the clinical manifestations are suspected of diphtheria, treatment can be done first.
