Zelenik Karol, Stanikova Lucia, Smatanova Katarina, Cerny Michal, Kominek Pavel
Department of Otorhinolaryngology, University Hospital Ostrava, 17. listopadu 1790, 708 52 Ostrava, Czech Republic.
Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Medicine in Hradec Kralove,University Hospital Hradec Kralove, Charles University in Prague, Sokolska 581, 50 005 Hradec Kralove, Czech Republic.
Biomed Res Int. 2014;2014:819453. doi: 10.1155/2014/819453. Epub 2014 Mar 6.
To review surgical techniques used in the treatment of laryngoceles over the last two decades and point out developments and trends.
PubMed, the Cochrane Library, and the JBI Library of Systematic Reviews were searched using the term "laryngocele." Demographic data, type of laryngocele, presence of a laryngopyocele, type of treatment and need for a tracheotomy were assessed.
Overall, data on 86 patients were analyzed, culled from 50 articles, of which 41 were case reports and 9 were case series. No single systematic review or meta-analysis or randomized controlled trial has been published on the topic. Altogether, 71 laryngoceles in 63 patients met the criteria for further analysis focusing on surgical treatment. An external approach was selected in 25/29 (86.2%) cases of combined laryngoceles. Microlaryngoscopic resection using a CO2 laser was performed in three cases and endoscopic robotic surgery in one case. The majority of patients with an internal laryngocele, 31/42 (73.8%), were treated using the microlaryngoscopy approach.
Microlaryngoscopy involving the use of a CO2 laser has become the main therapeutic procedure for the treatment of internal laryngoceles during the past 20 years. An external approach still remains the main therapeutic approach for the treatment of combined laryngoceles.
回顾过去二十年中用于治疗喉膨出的手术技术，并指出其发展和趋势。
使用“喉膨出”一词检索了PubMed、Cochrane图书馆和JBI系统评价图书馆。评估了人口统计学数据、喉膨出类型、喉脓性囊肿的存在情况、治疗类型以及气管切开术的需求。
总体而言，分析了从50篇文章中筛选出的86例患者的数据，其中41篇为病例报告，9篇为病例系列。关于该主题尚未发表单一的系统评价、荟萃分析或随机对照试验。共有63例患者中的71个喉膨出符合进一步分析手术治疗的标准。在25/29（86.2%）例合并喉膨出病例中选择了外部入路。3例采用二氧化碳激光进行显微喉镜切除术，1例采用内镜机器人手术。大多数内部喉膨出患者，31/42（73.8%），采用显微喉镜入路治疗。
在过去20年中，使用二氧化碳激光的显微喉镜检查已成为治疗内部喉膨出的主要治疗方法。外部入路仍然是治疗合并喉膨出的主要治疗方法。
