Klussmann Jens Peter, Knoedgen Robert, Wittekindt Claus, Damm Michael, Eckel Hans Edmund
Department of Otorhinolaryngology-Head and Neck Surgery, University of Cologne, Cologne, Germany.
Ann Otol Rhinol Laryngol. 2002 Nov;111(11):972-6. doi: 10.1177/000348940211101104.
Although suspension laryngoscopy (SL) is routinely used in operative laryngology, no prospectively gathered data on the complications of this procedure have so far been available. We prospectively analyzed 339 consecutive procedures for intervention-related complications. The survey included preoperative dental status and assessment of postoperative dental, mucosal, and nerve injuries. Minor mucosal lesions were found in 75% of all patients. All healed spontaneously within a few days. Dental injuries occurred in 6.5% of all patients. These were more frequent in therapeutic laryngoscopy than in diagnostic procedures (6.8% versus 6.0%). Highly significant correlations were found between dental injury rate and preoperative dental disease (p < .04) and grade of periodontitis (p <.001). Temporary nerve lesions were observed in 13 patients (9 of the lingual nerve and 4 of the hypoglossal nerve). Although minor complications frequently occur during SL, it is a relatively safe procedure with a low risk of significant morbidity.
尽管悬吊喉镜检查（SL）在手术喉科学中常规使用，但目前尚无关于该手术并发症的前瞻性收集数据。我们对339例连续手术的干预相关并发症进行了前瞻性分析。该调查包括术前牙齿状况以及术后牙齿、黏膜和神经损伤的评估。在所有患者中，75%发现有轻微黏膜病变。所有病变均在数天内自发愈合。6.5%的患者发生牙齿损伤。这些损伤在治疗性喉镜检查中比在诊断性操作中更常见（6.8%对6.0%）。牙齿损伤率与术前牙齿疾病（p < 0.04）和牙周炎分级（p < 0.001）之间存在高度显著相关性。观察到13例患者出现暂时性神经病变（舌神经9例，舌下神经4例）。尽管SL期间经常发生轻微并发症，但它是一种相对安全的手术，严重发病风险较低。
