Virk Ramandeep Singh, Nayak Gyanaranjan, Jain Divya
1Department of Otolaryngology, Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012 India.
2Department of Anaesthesiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Indian J Otolaryngol Head Neck Surg. 2019 Mar;71(1):19-21. doi: 10.1007/s12070-018-1501-6. Epub 2018 Sep 26.
Pediatric upper airway disorders are a major cause of morbidity and mortality. They can be congenital or acquired and provide diagnostic and therapeutic challenge to the paediatrician and otolaryngologists. Though fibreoptic laryngoscopy or bronchoscopy is the initial mode of assessing the pathology, detailed assessment and therapeutic intervention can only be done combining both direct laryngoscopy and bronchoscopy. Any kind of intervention routinely requires rigid direct laryngoscope with suspension. Identifying the potential use of Miller laryngoscope blade for pediatric airway surgery is the aim of the study. We have included pediatric patients from new born to 12 years of age in our clinical study. We have been using Miller laryngoscope blade for approaching till the level of subglottis for diagnostic laryngoscopy along with Hopkins 0 degree endoscope and performing surgical procedures like supraglottoplasty, vallecular cysts, subglottic stenosis etc. Miller laryngoscope blade can be used as an aid to upper airway surgery for the otolaryngologists with minimal operating time and effort.
小儿上气道疾病是发病和死亡的主要原因。它们可以是先天性的或后天获得的，给儿科医生和耳鼻喉科医生带来了诊断和治疗方面的挑战。尽管纤维喉镜或支气管镜检查是评估病变的初始方式，但详细的评估和治疗干预只能通过直接喉镜检查和支气管镜检查相结合来完成。任何类型的干预通常都需要使用带有悬吊装置的硬质直接喉镜。确定米勒喉镜叶片在小儿气道手术中的潜在用途是本研究的目的。我们在临床研究中纳入了从新生儿到12岁的小儿患者。我们一直在使用米勒喉镜叶片，配合霍普金斯0度内窥镜，进行诊断性喉镜检查，直至声门下水平，并进行诸如声门上成形术、会厌囊肿、声门下狭窄等手术操作。米勒喉镜叶片可为耳鼻喉科医生进行上气道手术提供帮助，且操作时间和精力最少。
