D'Souza A R, Fenton J E, Russell J D
Department of Otorhinolaryngology and Head and Neck Surgery, Mater Hospital, Dublin, Ireland.
J Laryngol Otol. 2000 Jul;114(7):543-4. doi: 10.1258/0022215001906101.
Subglottic foreign bodies presenting, as chronic subglottic stenosis is extremely rare in adults. A high index of suspicion and a careful history is of paramount importance in the diagnosis of a subglottic foreign body. Laser should not be used to excise granulation tissue to expose the foreign body because of the danger and potential of a fire particularly when the nature of the foreign body is not known. Rigid bronchoscopes are more beneficial than flexible ones in the removal of foreign bodies especially in long-standing cases.
声门下异物表现为成人慢性声门下狭窄极为罕见。高度的怀疑指数和详细的病史对于声门下异物的诊断至关重要。由于存在火灾风险和可能性,尤其是在异物性质不明时,不应使用激光切除肉芽组织以暴露异物。在取出异物时,特别是对于长期病例,硬质支气管镜比软质支气管镜更有益。