Lee Dong Hoon, Yoon Tae Mi, Lee Joon Kyoo, Lim Sang Chul
Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School and Chonnam National University Hwasun Hospital, Hwasun, South Korea.
J Craniofac Surg. 2018 Jun;29(4):e387-e389. doi: 10.1097/SCS.0000000000004389.
The objective of this study was to review the clinical characteristics and surgical treatment outcomes of the vocal process granuloma after the endotracheal intubation.
A retrospective chart review was performed at Chonnam National University Hwasun Hospital from January 2008 to December 2015.
Twenty-one vocal process granulomas after endotracheal intubation were diagnosed in 13 patients. The most common symptom was hoarseness. Among 13 patients, bilateral vocal process granulomas were in 8 patients. For the remaining 5 patients, their unilateral vocal process granulomas were all left-sided. All the cases of vocal process granulomas after the endotracheal intubation were treated by laryngoscope microsurgery under general anesthesia. Recurrence of vocal process granulomas was identified in 1 lesion.
This study suggests that surgery for vocal process granuloma after endotracheal intubation is a good treatment option for a rapid resolution of lesions and the associated symptoms, along with having low recurrence rates.
本研究的目的是回顾气管插管后声带突肉芽肿的临床特征及手术治疗效果。
2008年1月至2015年12月在全南国立大学和顺医院进行了一项回顾性病历审查。
13例患者诊断为21个气管插管后声带突肉芽肿。最常见的症状是声音嘶哑。13例患者中，8例为双侧声带突肉芽肿。其余5例患者的单侧声带突肉芽肿均在左侧。所有气管插管后声带突肉芽肿病例均在全身麻醉下接受喉镜显微手术治疗。1个病灶出现声带突肉芽肿复发。
本研究表明，气管插管后声带突肉芽肿手术是快速消除病灶及相关症状的良好治疗选择，且复发率低。
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