Department of Otorhinolaryngology, Wuxi Huishan District People's Hospital, 2 Zhanqian North Rd, Luoshe Town, Huishan District, Wuxi, 214187, People's Republic of China.
Eur Arch Otorhinolaryngol. 2020 Apr;277(4):1129-1132. doi: 10.1007/s00405-020-05804-3. Epub 2020 Jan 28.
This study aims to investigate the safety and effectiveness of videolaryngoscope-assisted coblation of epiglottic cysts (VACECs) under general anesthesia.
Twenty-eight consecutive patients with epiglottic cysts (ECs), underwent VACECs in this prospective clinical series from January 2015 to March 2019. The pre-operative electronic flexible laryngoscopic or 70° rigid laryngeal endoscopic examination was carried out to assess the location and size of ECs. There was a periodical follow-up survey for all patients.
A total 28 of patients were enrolled, including 12 men and 16 women, with an average age of 55 (range 24-78). The patient's medical history ranged from half a month to 2 years. The size of the cyst arranged from 0.8 to 1.5 cm. All patients were cured without pharyngeal or systemic complications. No tooth loss occurred in five patients (17.9%) with loose anterior teeth. Specimen pathology confirmed the diagnosis in all patients. No recurrence was found after more than half a year's follow-up.
VACECs brings together the advantages of videolaryngoscope and coblation. It is a simple, safe and feasible procedure for patients with ECs and is worthy of clinical application.
本研究旨在探讨全身麻醉下视频喉镜辅助等离子消融治疗会厌囊肿（VACECs）的安全性和有效性。
2015 年 1 月至 2019 年 3 月，连续 28 例会厌囊肿（ECs）患者在本前瞻性临床系列研究中接受了 VACECs。术前通过电子软喉镜或 70°硬性喉镜检查评估 ECs 的位置和大小。对所有患者进行定期随访调查。
共纳入 28 例患者，其中男 12 例，女 16 例，平均年龄 55 岁（范围 24-78 岁）。患者的病史从半个月到 2 年不等。囊肿大小从 0.8 到 1.5cm 不等。所有患者均治愈，无咽部或全身并发症。五例（17.9%）松动前牙的患者无牙齿脱落。所有患者的标本病理均确诊。经过半年以上的随访，均未发现复发。
VACECs 结合了视频喉镜和等离子消融的优点，是一种治疗 ECs 患者的简单、安全、可行的方法，值得临床应用。
