Ossoff R H, Duncavage J A, Dere H
Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN 37232-2559.
Otolaryngol Head Neck Surg. 1991 Jun;104(6):842-8. doi: 10.1177/019459989110400613.
The development of the adult subglottiscope has facilitated expansion of the indications for operative microlaryngoscopy to include surgery in the subglottic region of the larynx, as well as in the upper cervical trachea. A set of microlaryngeal instruments with an elongated shaft has been developed to support the use of the subglottiscope in the adult patient population. During the 18-month period from January 1, 1988, through June 30, 1989, sixteen adult patients with subglottic or upper cervical tracheal pathology were operated on a total of twenty-three times, using the adult subglottiscope to facilitate exposure and treatment. The patients' pathologic conditions included subglottic stenosis, subglottic granuloma, subglottic extension of laryngeal hemangioma and papilloma, and suprastomal granuloma. Two selected cases are presented to highlight indications for the use of this instrument. We have found the exposure of these subglottic and upper cervical tracheal lesions, using the binocular, microlaryngeal approach facilitated by the adult subglottiscope, to be improved over that obtained with existing microlaryngoscopes or conventional tracheoscopes.
成人亚声门镜的发展推动了显微喉镜手术适应证的扩展，将喉亚声门区以及上颈段气管的手术纳入其中。现已研发出一套带有细长杆身的显微喉器械，以支持在成年患者群体中使用亚声门镜。在1988年1月1日至1989年6月30日的18个月期间，16例患有亚声门或上颈段气管病变的成年患者总共接受了23次手术，使用成人亚声门镜以利于暴露和治疗。患者的病理状况包括亚声门狭窄、亚声门肉芽肿、喉血管瘤和乳头状瘤的亚声门扩展以及造口上肉芽肿。现展示两例精选病例，以突出该器械的使用适应证。我们发现，借助成人亚声门镜采用双目显微喉入路来暴露这些亚声门和上颈段气管病变，比使用现有的显微喉镜或传统气管镜所获得的暴露效果更好。
