Okami Kenji, Hamano Takahide, Sakai Akihiro, Okada Shinya, Sekine Motoki, Wada Ryoko, Iida Masahiro, Fukuyama Haruo, Ajimi Junko, Takahashi Masahiro
Department of Otolaryngology, Tokai University School of Medicine, Kanagawa, Japan.
Tokai J Exp Clin Med. 2004 Sep;29(3):123-6.
The airway management and anesthesia maintenance during the laryngoscopic surgery is essential for a safe operation. For the benign laryngeal obstructive disease such as a large mass or a foreign body of the upper airway, it is difficult to secure the airway. Sometimes they might be hazardous and potentially lethal. We present two cases of a large laryngeal polyp and a laryngeal foreign body of pressthrough-package (PTP). They were successfully operated on with laryngomicrosurgery under neuroleptanalgesia (NLA) without intubation. The choice of the operation and airway management were discussed.
喉镜手术期间的气道管理和麻醉维持对于安全手术至关重要。对于良性喉阻塞性疾病,如气道内的大肿物或异物,确保气道安全具有挑战性。有时这些情况可能具有危险性并潜在致命。我们报告两例病例,分别为巨大喉息肉和预充式包装(PTP)内的喉异物。它们在神经安定镇痛(NLA)下未行插管成功接受了喉显微手术。对手术选择和气道管理进行了讨论。