Oluwasanmi A F, Mal R K
Ear Nose and Throat Department, Southmead Hospital, Bristol, UK.
J Laryngol Otol. 2001 Apr;115(4):289-92. doi: 10.1258/0022215011907479.
Endoscopic epiglottectomy is usually performed using a surgical laser. Epiglottectomy may be indicated for the treatment of benign or malignant lesions and for the relief of airway obstruction caused by a floppy epiglottis. We present four patients who had endoscopic partial epiglottectomy using monopolar diathermy to treat a floppy epiglottis. All the four patients were male in their sixth and seventh decades with snoring and/or obstructive sleep apnoea syndrome (OSAS) due partly or wholly to a floppy epiglottis. Diathermy epiglottectomy is easily carried out using the laryngoscope, laryngeal instruments and curved rotating microdissection monopolar scissors (used in laparoscopic surgery). This was found to be safe and effective with minimal morbidity. It requires no elaborate preparation and could be performed in hospitals that have no laser facilities. It may be performed in conjunction with other procedures e.g. uvulopalatopharyngoplasty (UPPP) if necessary.
内镜下会厌切除术通常使用外科激光进行。会厌切除术可用于治疗良性或恶性病变，以及缓解由松弛会厌引起的气道阻塞。我们报告了4例使用单极透热法进行内镜下部分会厌切除术治疗松弛会厌的患者。所有4例患者均为六七十岁男性，打鼾和/或阻塞性睡眠呼吸暂停综合征（OSAS）部分或全部由松弛会厌引起。使用喉镜、喉部器械和弯曲旋转显微解剖单极剪刀（用于腹腔镜手术）很容易进行透热会厌切除术。结果发现该方法安全有效，发病率极低。它无需复杂的准备工作，在没有激光设备的医院也可进行。如有必要，可与其他手术如悬雍垂腭咽成形术（UPPP）联合进行。
