球囊扩张术治疗声门上喉浆细胞增多症。
Balloon dilatation to treat plasmacytosis of the supraglottic larynx.
作者信息
Mistry S G, Watson G J, Rothera M P
机构信息
Department of Otolaryngology, Salford Royal NHS Foundation Trust, Stott Lane, Salford, UK.
出版信息
J Laryngol Otol. 2012 Oct;126(10):1077-80. doi: 10.1017/S0022215112001922. Epub 2012 Aug 21.
OBJECTIVE
We discuss the use of balloon dilatation to relieve supraglottic stenosis caused by mucous membrane plasmacytosis.
CASE REPORT
A 54-year-old man with a known diagnosis of mucous membrane plasmacytosis presented with dysphonia and worsening airway obstruction which required a tracheostomy. He underwent balloon dilatation of the supraglottic larynx using an angioplasty balloon within sequentially sized endotracheal tubes. This enabled successful decannulation, with minimal re-stenosis at eight-month follow up.
CONCLUSION
To our knowledge, this is the first reported case of supraglottic stenosis caused by plasmacytosis to be successfully treated using this method. We have shown that this minimally invasive technique deals effectively with a complex airway and minimises re-stenosis.
目的
我们探讨使用球囊扩张术缓解由黏膜浆细胞增多症引起的声门上狭窄。
病例报告
一名已知诊断为黏膜浆细胞增多症的54岁男性，出现声音嘶哑和气道阻塞加重，需要进行气管切开术。他使用血管成形术球囊在依次增大尺寸的气管内导管内对声门上喉进行了球囊扩张。这使得成功拔管，在八个月的随访中再狭窄最小。
结论
据我们所知，这是第一例报道的由浆细胞增多症引起的声门上狭窄通过该方法成功治疗的病例。我们已经表明，这种微创技术有效地处理了复杂气道并将再狭窄降至最低。
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