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二氧化碳激光腭成形术:早期结果

CO2 laser palatoplasty: early results.

作者信息

Ingrams D R, Spraggs P D, Pringle M B, Croft C B

机构信息

Royal National Throat Nose and Ear Hospital, London, UK.

出版信息

J Laryngol Otol. 1996 Aug;110(8):754-6. doi: 10.1017/s0022215100134875.

Abstract

It is now widely accepted that snoring causes significant social dysfunction. In the absence of obstructive sleep apnoea syndrome, palatal surgery offers a very good chance of eliminating or reducing snoring. The traditional operation of uvulopalatopharyngoplasty remains the 'gold standard', but may be complicated by velopharyngeal incompetence, severe post-operative pain and even nasopharyngeal stenosis. A newer technique to reduce snoring caused by palatal flutter by using a neodymnium:yttrium aluminum garnet laser to stiffen the soft palate has been introduced recently by another unit. We show that this procedure can be carried out using a CO2 laser, and present the initial results of the first 29 patients operated on at The Royal National Throat, Nose and Ear Hospital.

摘要

现在人们普遍认为打鼾会导致严重的社会功能障碍。在没有阻塞性睡眠呼吸暂停综合征的情况下,腭部手术有很大机会消除或减轻打鼾。传统的悬雍垂腭咽成形术仍然是“金标准”,但可能会出现腭咽闭合不全、术后剧痛甚至鼻咽狭窄等并发症。另一个单位最近引入了一种更新的技术,即使用钕:钇铝石榴石激光使软腭变硬,以减少由腭部颤动引起的打鼾。我们表明该手术可以使用二氧化碳激光进行,并展示了在皇家国立耳鼻喉医院接受手术的首批29例患者的初步结果。

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