Deitmer T
Klinik und Poliklinik für HNO-Heilkunde der Westfälischen Wilhelms Universität Münster.
Laryngorhinootologie. 1991 Mar;70(3):151-3. doi: 10.1055/s-2007-998008.
Following long-term intubation there seems to be an increasing incidence of stenosis of the larynx and the upper trachea. In the larynx the common site of stenosis is the posterior commissure, with is difficult to treat. We report on three cases of post-intubation synechia bridging the glottic space in the region of the vocal process. In literature reports and in our experience, this kind of stenosis seems to be linked with a tracheotomy, which was performed to prevent severe damage to the trachea or larynx. In clinical diagnosis this synechia can easily be confused with bilateral palsy of the vocal cords. From this synechia fettering the vocal cords and arytenoids problems during intubation may arise. It can be treated by cutting it endoscopically without stenting the larynx.
长期插管后，喉和上气管狭窄的发生率似乎呈上升趋势。在喉部，狭窄的常见部位是后联合，治疗困难。我们报告了3例插管后粘连横跨声突区域声门间隙的病例。在文献报道及我们的经验中，这种狭窄似乎与为防止气管或喉部严重损伤而进行的气管切开术有关。在临床诊断中，这种粘连很容易与双侧声带麻痹相混淆。这种粘连束缚声带和杓状软骨，可能会在插管时引发问题。可通过内镜下切除而无需喉部支架置入来治疗。
