关键词: Laryngocele microlaryngoscopy pyolaryngocele surgery tracheostomy transoral robotic surgery

Mesh : Humans Dilatation, Pathologic Laryngocele / surgery Larynx / surgery Robotic Surgical Procedures

来  源:   DOI:10.1177/0300060520940441   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
OBJECTIVE: A laryngocele is a space that develops as a result of pathological dilatation of the laryngeal saccule. However, the reported management of laryngoceles varies. We conducted a systematic review of the literature regarding the surgical management of laryngoceles and pyolaryngoceles, to understand the evolving nature of treatment for this rare condition.
METHODS: We searched for publications in the PubMed, Cochrane Library, JBI Library of Systematic Reviews, and Ovid databases using the terms \"laryngocele\", \"pyolaryngocele\", and \"laryngopyocele\", and reviewed the identified articles.
RESULTS: After removal of repeated studies and filtering for relevance and studies written in English, a total of 227 studies were included in this review. No meta-analyses or randomized controlled trials have been published. The identified studies have been summarized in 14 reviews conducted since 1946. The meta-analysis determined that endoscopy was the preferred approach for internal laryngoceles, while combined laryngoceles benefited from both internal and external surgical approaches.
CONCLUSIONS: Laryngocele management has progressed since its initial description, from open surgery to an endoscopic approach, and more recently to a robotic-assisted surgical approach. The uptake of robotic surgery as a possible treatment modality over the last decade shows much promise for the treatment of these conditions.
摘要:
目的:喉囊膨出是由于喉囊病理性扩张而发展的空间。然而,报告的喉塞管理各不相同。我们对有关喉癌和喉癌的手术治疗的文献进行了系统的回顾,了解这种罕见疾病治疗的演变性质。
方法:我们搜索了PubMed中的出版物,科克伦图书馆,JBI系统评论库,和使用术语“喉癌”的Ovid数据库,\“脓性喉癌\”,和“喉囊肿”,并审查了已确定的文章。
结果:在删除重复的研究和过滤相关性和英文写作研究之后,本综述共纳入了227项研究.尚未发表荟萃分析或随机对照试验。自1946年以来进行的14项综述总结了已确定的研究。荟萃分析确定内窥镜检查是喉癌的首选方法,而合并的喉癌受益于内部和外部手术方法。
结论:喉癌管理自最初描述以来取得了进展,从开放手术到内窥镜手术,以及最近的机器人辅助手术方法。在过去的十年中,机器人手术作为一种可能的治疗方式的采用显示了这些疾病的治疗前景。
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