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喉气管淀粉样变的外科治疗

Surgical treatment of the laryngotracheal amyloidosis.

作者信息

Watanabe H, Makishima K, Komiyama S, Hiroto I

出版信息

Auris Nasus Larynx. 1984;11(3):157-62. doi: 10.1016/s0385-8146(84)80023-1.

Abstract

Two cases of primary localized amyloid tumor in the larynx and trachea surgically treated were herein reported. As recurrence of the amyloid tumor might lead to repeated resection in the same region, first trial of eradicative laryngofissure or laryngotracheofissure proved to be the effective approaches. The denuded area of the respiratory tract after removing amyloid tumor was covered with a split thickness skin graft and/or neighbouring mucosa applying soft rubber stent, then extensive scarring and schrinkage of the airways after surgery could thus be eliminated.

摘要

本文报道了两例经手术治疗的喉和气管原发性局限性淀粉样瘤病例。由于淀粉样瘤的复发可能导致同一区域的反复切除,首次尝试根治性喉裂开术或喉气管裂开术被证明是有效的方法。切除淀粉样瘤后呼吸道的裸露区域用中厚皮片移植和/或应用软橡胶支架的邻近黏膜覆盖,从而可以消除术后气道的广泛瘢痕形成和狭窄。

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