Li L J, Du C, Wang L, Yan Y, Zeng J, Xu C Y, Sun S L
Department of Otorhinolaryngology Head and Neck Surgery, Peking University Third Hospital, Beijing 100191, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Jan 7;53(1):45-48. doi: 10.3760/cma.j.issn.1673-0860.2018.01.010.
To explore the possibility of endoscope assisted curved laryngoscopy technique applied in transoral laryngopharyngeal minimally invasive surgery and evaluate the advantages of this technique. Eight patients with huge benign lesions in larynx and pharynx undergoing transoral microsurgery at Peking University Third Hospital between February 2016 and February 2017 were enrolled in this study.The diagnosis included cyst at the base of tongue in two patients, cysts in the epiglottis in two patients, hemangioma in two patients, multiple masses of the hypopharynx and amyloidosis in supraglottic area in one patient each.The time and exposure during surgery, occurrence rate of complication and conditions of following-up were recorded. The mean time of surgery was 20 min, the exposure was satisfying.There was no obvious complication after surgery.No residual or recurrent lesion was observed after 1 to 12 months follow-up(mean time 4.5 months). The endoscope assisted curved laryngoscopy technique has advantages in shortening the time of surgery, improving exposure and reducing the rate of complication and recurrence.
探讨内镜辅助弯曲喉镜技术应用于经口喉咽微创手术的可能性，并评估该技术的优势。选取2016年2月至2017年2月在北京大学第三医院接受经口显微手术的8例喉咽巨大良性病变患者纳入本研究。诊断包括2例舌根囊肿、2例会厌囊肿、2例血管瘤、1例下咽多发肿物、1例声门上区淀粉样变。记录手术时间、术中暴露情况、并发症发生率及随访情况。平均手术时间为20分钟，暴露情况良好。术后无明显并发症。随访1至12个月（平均4.5个月），未见残留或复发病变。内镜辅助弯曲喉镜技术在缩短手术时间、改善暴露、降低并发症及复发率方面具有优势。
