Ayshford C A, Kabbani M, Reddy T N
Staffordshire General Hospital, Dept of Otolaryngology and Head & Neck Surgery, Stafford, England.
Rev Laryngol Otol Rhinol (Bord). 2000;121(1):57-8.
The KTP laser is used in both uvulopalatopharyngoplasty and tonsillectomy. However the need to use laser guarded endotracheal tubes represents a sizeable expense to the procedure. The authors describe a modified tongue plate to the oropharyngeal gag that covers all of the endo-tracheal tube, thus enabling the safe use of a non-laser guarded, PVC endotracheal tube. In over a hundred such procedures there has been no laser-related complications. The authors consider that the one off cost of this tongue plate and gag allows a more cost-effective method for performing laser-assisted uvulopalatopharyngoplasty and tonsillectomy.
KTP激光用于悬雍垂腭咽成形术和扁桃体切除术。然而,使用带激光防护的气管内导管会给该手术带来相当大的费用。作者描述了一种改良的口咽开口器舌板,它能覆盖整个气管内导管,从而能够安全使用无激光防护的聚氯乙烯气管内导管。在一百多例此类手术中,未出现与激光相关的并发症。作者认为,这种舌板和开口器的一次性成本使得进行激光辅助悬雍垂腭咽成形术和扁桃体切除术的方法更具成本效益。