Yu Jianjun, Liu Yehai
Department of Otorhinolaryngology Head and Neck Surgery，First Affiliated Hospital of Anhui Medical University，Hefei，230022，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Jan 5;35(1):49-51. doi: 10.13201/j.issn.2096-7993.2021.01.012.
To explore the value of endoscopic-assisted modified cricothyroid membrane approach laryngeal surgery in patients with difficult airways and evaluate its safety. All patients with laryngeal surgery who were hospitalized were evaluated. For the patients with difficult airways those could not be exposed through routine surgical approach, after full communication, we carried out the endoscope-assisted modified loop thyroscopic approach to the thyroid membrane. All the 12 patients completed the operation successfully, and the visual field exposure was satisfactory during the operation. None of the patients had bleeding and glottic and subglottic stenosis after the operation, and the sound recovered satisfactorily. The cricothyroid membrane approach is not a routine choice for laryngeal surgery, but it is significantly better than other surgical methods for patients with difficult airways who are difficult to expose by conventional approaches, and it is a good choice for patients who cannot be exposed by conventional surgical approaches. The choice is worthy of clinical promotion.
探讨内镜辅助改良环甲膜入路喉手术在困难气道患者中的应用价值并评估其安全性。对所有住院行喉手术的患者进行评估。对于经常规手术入路无法暴露的困难气道患者，充分沟通后，采用内镜辅助改良环甲膜入路行甲状腺膜手术。12例患者均成功完成手术，术中视野暴露满意。术后患者均无出血及声门和声门下狭窄，声音恢复满意。环甲膜入路并非喉手术的常规选择，但对于常规入路难以暴露的困难气道患者，其明显优于其他手术方法，是无法通过传统手术入路暴露的患者的良好选择。该选择值得临床推广。
