Koufman J A, Thompson J N, Kohut R I
Otolaryngol Head Neck Surg. 1981 Mar-Apr;89(2):215-20. doi: 10.1177/019459988108900214.
Recent advances in microsurgery of the larynx have heralded a new era in the endoscopic management of subglottic stenosis. The carbon-dioxide laser with bronchoscopic adapters can be successfully employed to reestablish an adequate subglottic lumen. Thirteen cases of subglottic stenosis were managed endoscopically with the carbon dioxide surgical laser. In 77% (10 of 13) of these patients, a satisfactory airway was reestablished within a one-year period. The technique of laser vaporization and the results of treatment are presented. The role of corticosteroid therapy, antibiotic therapy, tracheotomy, dilation, and laryngeal stenting is discussed.
喉显微外科的最新进展为声门下狭窄的内镜治疗开创了一个新时代。配备支气管镜适配器的二氧化碳激光能够成功用于重建足够的声门下管腔。13例声门下狭窄患者接受了二氧化碳外科激光内镜治疗。在这些患者中，77%（13例中的10例）在1年内重建了满意的气道。本文介绍了激光汽化技术及治疗结果，并讨论了皮质类固醇治疗、抗生素治疗、气管切开术、扩张术和喉支架置入术的作用。
