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经环甲膜内镜下声门下手术治疗后声门狭窄:一例报告

Transcricothyroid Endoscopic Subglottic Surgery for Posterior Glottic Stenosis: A Case Report.

作者信息

Matsushima Koji, Matsuura Kentaro, Takeda Teppei, Sasaki Yuko, Fukuo Akira, Wada Kota, Watanabe Yusuke

机构信息

Department of Otolaryngology, Toho University Omori Medical Center, 6-11-1, Omorinishi, Otaku, Tokyo, Japan; Tokyo Voice Center, International University of Health and Welfare, Sanno Hospital, Tokyo, Japan.

Department of Otolaryngology, Toho University Omori Medical Center, 6-11-1, Omorinishi, Otaku, Tokyo, Japan.

出版信息

J Voice. 2017 Sep;31(5):634-637. doi: 10.1016/j.jvoice.2017.02.005. Epub 2017 Mar 17.

Abstract

Posterior glottic stenosis (PGS) is a rare but life-threatening condition mostly caused by damage to the interarytenoid mucosa by an endotracheal tube. In surgical treatment of PGS, airway patency is prioritized, and the laryngeal functions involved in swallowing and phonation are considerably sacrificed. In the majority of cases, lateralization of a vocal fold or partial excision of a vocal fold and arytenoid cartilage results in glottal closure insufficiency and deterioration of phonatory function. We present the first report of transcricothyroid endoscopic subglottic surgery to treat a 46-year-old man with PGS who was intubated for 10 days. Postoperative hypofunction was not observed in the aerodynamic examination and acoustic analysis, and phonatory function has been maintained within normal limits.

摘要

声门后狭窄(PGS)是一种罕见但危及生命的疾病,主要由气管插管对杓间黏膜造成损伤引起。在PGS的外科治疗中,气道通畅是首要考虑因素,吞咽和发声所涉及的喉功能会受到相当大的牺牲。在大多数情况下,声带外移或声带及杓状软骨部分切除会导致声门闭合不全和发声功能恶化。我们首次报告了经环甲膜内镜下声门下手术治疗一名46岁因插管10天导致PGS的男性患者。在空气动力学检查和声学分析中未观察到术后功能减退,发声功能一直维持在正常范围内。

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