关键词: Endoscopy Laryngocele Laryngoscopy

来  源:   DOI:10.1007/s12070-020-01955-1   PDF(Sci-hub)   PDF(Pubmed)

Abstract:
Laryngocele is very uncommon and no consensus regarding its surgical management is yet established. While traditional external approach is still being recommended some suggest a better microlaryngoscopic management assisted by CO2 laser that has gained popularity. Recurrence is better known with conservative surgery but this paper presents a modified single stage endolaryngeal technique for combined laryngoceles to overcome the same. The salient features are (1) A comparatively larger operculum is created and all the visible mucosa is excised; (2) the base of residual postoperative cavity is moistened with cotton soaked with concentrated carbolic acid for 1 min and (3) the residual \'charred\' base with intermittent oozing is packed with single layer of surgicel. The reader is further encouraged to see surgical video of entire procedure.
摘要:
喉癌非常罕见,尚未就其手术治疗达成共识。尽管仍建议使用传统的外部方法,但一些人建议在CO2激光的辅助下进行更好的微喉镜检查。保守性手术更好地了解复发,但本文提出了一种改良的单阶段喉内技术,用于合并喉塞,以克服这种情况。显着特征是(1)创建了一个相对较大的孔眼,并切除了所有可见的粘膜;(2)用浸有浓碳酸的棉花润湿残留的术后腔的底部1分钟,(3)残留的“烧焦的”底部充满单层外科手术。进一步鼓励读者观看整个过程的手术视频。
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