Hefer T, Joachims H Z
Department of Otorhinolaryngology, Rambam Medical Center, Haifa, Israel.
Otolaryngol Head Neck Surg. 1997 Sep;117(3 Pt 1):276-9. doi: 10.1016/s0194-5998(97)70186-4.
We present our experience in treating postlaryngectomy patients with respiratory disturbance caused by stricture of the permanent stoma by CO2 laser surgery. Laser surgery is a simple procedure that can be performed with the patient under local anesthesia without bleeding and with minimal damage to the adjacent strictures resulting in a minimal postoperative edema and contracture. In our opinion the CO2 laser is a useful surgical tool for enlargement of the airway lumen and for improvement of respiratory disturbance in postlaryngectomy patients with stomal stricture, and this procedure should be considered for treatment of selected patients.
我们介绍了使用二氧化碳激光手术治疗喉切除术后因永久性造口狭窄导致呼吸障碍患者的经验。激光手术是一种简单的手术，可在局部麻醉下对患者进行，无出血，对相邻狭窄的损伤最小，术后水肿和挛缩也最小。我们认为，二氧化碳激光是扩大气道腔和改善喉切除术后造口狭窄患者呼吸障碍的一种有用的手术工具，对于选定的患者应考虑采用这种手术进行治疗。
