Fearon B
Ann Otol Rhinol Laryngol Suppl. 1980 Sep-Oct;89(5 Pt 2):146-9. doi: 10.1177/00034894800890s534.
The primary concern in laryngeal surgery in the infant and child is to relieve airway obstruction, rather than phonation. Because airway obstruction above the larynx may stimulate or be confused with laryngeal pathology, these are described as the signs and symptoms of laryngeal disease. Although tracheotomy in the infant is frequently said to be a cause of a long-term problem, the procedure can be carried out in the smallest premature quite safely and without an extubation problem. The author's method of performing the operation is described. Most laryngeal surgery in the child is performed by the endoscopic approach, special scopes being used for special purposes. In addition to conventional instrumentation the cryoprobe and CO2 laser and employed. The author's method of treating glottic and subglottic stenosis is outlined.
婴幼儿喉部手术的主要关注点是解除气道梗阻，而非发声。由于喉上气道梗阻可能刺激喉部病变或与之混淆，这些被描述为喉部疾病的体征和症状。尽管婴儿气管切开术常被认为会导致长期问题，但该手术在最小的早产儿中也能相当安全地进行，且不存在拔管问题。文中描述了作者的手术操作方法。儿童的大多数喉部手术采用内镜入路，使用特殊的内镜用于特定目的。除了传统器械外，还使用了冷冻探头和二氧化碳激光。文中概述了作者治疗声门和声门下狭窄的方法。
