Krukov A I, Kirasirova E A, Piminidi O K, Rezakov R A, Lafutkina N V, Mamedov R F
L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152; Department of Otorhinolaryngology, N.I. Pirogov Russian National Research Medical University, Moscow, Russia, 117997.
L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology, Moscow Health Department, Moscow, Russia, 117152.
Vestn Otorinolaringol. 2018;83(1):52-55. doi: 10.17116/otorino201883152-55.
The objective of the present study was to optimize the treatment of patients with subglottic laryngeal stenosis.
We have examined a total of 14 patients presenting with subglottic laryngeal stenosis. The etiological factors and underlying conditions of laryngeal stenosis were the prolonged intubation in 4 patients, Wegener granulomatosis in 6 patients, and idiopathic stenosis of the larynx in 4 patients. All the patients underwent balloon dilatation with the application of the video endoscopic technique.
The surgical treatment of all the patients made it possible to achieve the persistent expansion of the lumen of the subglottic part of the larynx, to shorten the periods of the in-patient treatment and rehabilitation of the patients. Restenosis of laryngeal lining stenting was observed in one patient presenting with Wegener's granulomatosis which was associated with the relapse of the underlying disease.
本研究的目的是优化声门下喉狭窄患者的治疗。
我们共检查了14例声门下喉狭窄患者。喉狭窄的病因和基础疾病为:4例患者因长期插管,6例患者因韦格纳肉芽肿,4例患者为特发性喉狭窄。所有患者均采用视频内镜技术进行球囊扩张。
所有患者的手术治疗均能使声门下喉部管腔持续扩张,缩短患者住院治疗和康复时间。1例韦格纳肉芽肿患者出现喉衬里支架再狭窄,这与基础疾病复发有关。