1例成人会厌喉软化症的外科治疗
Surgical treatment of a case of adult epiglottic laryngomalacia.
作者信息
Bartolomeo M, Bigi A, Pelliccia P, Makeieff M
机构信息
Département de chirurgie cervico-faciale, centre hospitalo-universitaire Gui-de-Chauliac, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
Département de chirurgie cervico-faciale, centre hospitalo-universitaire Gui-de-Chauliac, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
出版信息
Eur Ann Otorhinolaryngol Head Neck Dis. 2015 Feb;132(1):45-7. doi: 10.1016/j.anorl.2013.10.004. Epub 2015 Jan 19.
INTRODUCTION
Adult laryngomalacia is rare. It may be idiopathic or secondary to trauma or degenerative disease.
CASE REPORT
A 25-year-old man presented with inspiratory dyspnea on effort of several months' evolution. Flexible endoscopy found epiglottic laryngomalacia, managed by CO2 laser V-shaped partial epiglottectomy.
DISCUSSION
Excessive resection of the epiglottis may lead to false passage; insufficient resection risks being ineffective. V-shaped partial epiglottectomy minimizes risk of false passage while ensuring permanent respiratory airflow via the epiglottic V during epiglottic movement.
引言
成人喉软化症较为罕见。它可能是特发性的，也可能继发于创伤或退行性疾病。
病例报告
一名25岁男性，因持续数月的劳力性吸气性呼吸困难前来就诊。软性喉镜检查发现会厌喉软化症，通过二氧化碳激光行V形部分会厌切除术进行治疗。
讨论
会厌切除过多可能导致假道形成；切除不足则有治疗无效的风险。V形部分会厌切除术可将假道形成的风险降至最低，同时确保在会厌运动期间通过会厌V形结构维持永久性呼吸气流。
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