Sett S, Isser D K
Dept. of ENT, Patna Medical college Hospital, Patna- 800 004, Bihar, India.
Indian J Otolaryngol Head Neck Surg. 2000 Jul;52(3):315-8. doi: 10.1007/BF03006218.
Two successfully treated cases, one of laryngotracheal stenosis & another of pharyngocutaneous fistula have been presented. These complications developed due to bad initial management & poor physical health following cut-throat Injury, It was observed that cheaper stents like polythelene endotracheal tube gave good remits like costlier stents in the treatment of stenosis. Mild degree of subglottic stenosis could he dilated to yield good airway thus avoiding major surgery.It should be remembered that proper initial management & early repair of the 'cut-throat injury' would avert these complications.Post-operative follow-up for at least a year & more is mandatory to assess the final outcome.
本文报告了两例成功治疗的病例,一例为喉气管狭窄,另一例为咽皮肤瘘。这些并发症是由于刎颈伤后初期处理不当和身体健康状况不佳所致。观察发现,在治疗狭窄方面,像聚乙烯气管导管这样较便宜的支架能产生与较昂贵支架一样好的效果。轻度声门下狭窄可以通过扩张获得良好的气道,从而避免大手术。应该记住,对刎颈伤进行适当的初期处理和早期修复可以避免这些并发症。术后至少随访一年或更长时间对于评估最终结果是必不可少的。