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内镜辅助扁桃体切除术(部分囊内扁桃体切除术):我们的操作方法。

Endoscope-assisted tonsillotomy (partial intracapsular tonsillectomy): how we do it.

作者信息

Uzomefuna Vincent, Glynn Fergal

机构信息

Otolaryngology Department, Our Lady's Children Hospital Crumlin, Dublin 12, Ireland.

出版信息

ISRN Otolaryngol. 2012 Apr 19;2012:713901. doi: 10.5402/2012/713901. Print 2012.

DOI:10.5402/2012/713901
PMID:23724271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3658846/
Abstract

Objective. To describe our technique of performing tonsillotomy that increases visibility by providing a better view of the tonsils and related structures through the use of a 30-degree scope. Method. Patients had tonsillotomy with microdebrider with the aid of a 30-degree endoscope for both visualization and on-screen projection and magnification. Result. The endoscope-assisted technique provides a more detailed exposure of pharyngeal structures and their relationships with the tonsils. It is easier to clearly visualize the upper and lower poles. The magnification with the endoscope makes it easier to appreciate anatomic details and identify/deal selectively with minute bleeding points. Conclusion. The use of 30-degree endoscope in tonsillotomy provides better visualization of the upper and lower tonsil poles and may make the procedure easier for the surgeon and safer for the patient.

摘要

目的。描述我们进行扁桃体切除术的技术,该技术通过使用30度内窥镜提供扁桃体及相关结构的更好视野,从而提高可见度。方法。患者在30度内窥镜辅助下使用微型清创器进行扁桃体切除术,用于可视化、屏幕投影和放大。结果。内窥镜辅助技术能更详细地暴露咽部结构及其与扁桃体的关系。更容易清晰地看到上极和下极。内窥镜的放大功能使解剖细节更容易辨认,并能选择性地识别/处理微小出血点。结论。在扁桃体切除术中使用30度内窥镜可更好地观察扁桃体上极和下极,可能使手术医生操作更简便,患者更安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b3/3658846/975824f58286/ISRN.OTOLARYNGOLOGY2012-713901.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b3/3658846/559de2fd7d06/ISRN.OTOLARYNGOLOGY2012-713901.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b3/3658846/2066bc5e2823/ISRN.OTOLARYNGOLOGY2012-713901.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b3/3658846/975824f58286/ISRN.OTOLARYNGOLOGY2012-713901.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b3/3658846/559de2fd7d06/ISRN.OTOLARYNGOLOGY2012-713901.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b3/3658846/2066bc5e2823/ISRN.OTOLARYNGOLOGY2012-713901.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6b3/3658846/975824f58286/ISRN.OTOLARYNGOLOGY2012-713901.003.jpg

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本文引用的文献

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The evolution of tonsil surgery and rethinking the surgical approach to obstructive sleep-disordered breathing in children.扁桃体手术的演变以及对儿童阻塞性睡眠呼吸障碍手术方法的重新思考。
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Pediatric tonsillotomy with the radiofrequency technique: less morbidity and pain.小儿扁桃体射频切除术:发病率和疼痛较低。
Laryngoscope. 2004 May;114(5):871-7. doi: 10.1097/00005537-200405000-00016.
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Intracapsular tonsillar reduction (partial tonsillectomy): reviving a historical procedure for obstructive sleep disordered breathing in children.
囊内扁桃体缩小术(部分扁桃体切除术):恢复一种治疗儿童阻塞性睡眠呼吸障碍的历史手术方法。
Otolaryngol Head Neck Surg. 2003 Nov;129(5):532-8. doi: 10.1016/S0194-59980300727-7.
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Physiologic mechanism of the ultrasonically activated scalpel.超声刀的生理机制。
J Am Assoc Gynecol Laparosc. 1996 Aug;3(4):601-8. doi: 10.1016/s1074-3804(05)80174-4.
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Electrodissection tonsillectomy.电切扁桃体切除术
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