Abstract：
To demonstrate the feasibility of transoral resection of, even large, combined laryngoceles by endoscopic CO2 laser resection using the inversion technique.
A retrospective study over a 25-year period of 20 patients with 22 combined laryngoceles. All patients were operated on using the CO2 laser inversion technique. Pre- and postoperative computed tomography (CT)-scans or magnetic resonance (MR) imaging were available in all patients.
There were no surgical problems during all procedures. One patient required a tracheotomy pre-operatively due to a compromised airway. All procedures were without intraoperative complications. Postoperatively, there were two complications: one hemorrhage, and one patient developed a granuloma with airway compromise. In two patients, residual disease was detected on postoperative imaging. One of them was re-operated several years later due to the progression of this residual external component of the laryngocele. One patient had a non-significant small internal laryngocele recurrence. The recurrence rate in this series was 2/22 (9.1%). The majority of patients (15/20) could be discharged from the hospital the day after surgery.
The results of this study show excellent control of combined laryngoceles using the CO2 laser inversion technique, with a short hospital stay and a low rate of complications and recurrence. Even in large combined laryngoceles, CO2 laser excision using the inversion technique should be considered.
4 Laryngoscope, 133:2742-2746, 2023.
A retrospective study over a 25-year period of 20 patients with 22 combined laryngoceles. All patients were operated on using the CO2 laser inversion technique. Pre- and postoperative computed tomography (CT)-scans or magnetic resonance (MR) imaging were available in all patients.
There were no surgical problems during all procedures. One patient required a tracheotomy pre-operatively due to a compromised airway. All procedures were without intraoperative complications. Postoperatively, there were two complications: one hemorrhage, and one patient developed a granuloma with airway compromise. In two patients, residual disease was detected on postoperative imaging. One of them was re-operated several years later due to the progression of this residual external component of the laryngocele. One patient had a non-significant small internal laryngocele recurrence. The recurrence rate in this series was 2/22 (9.1%). The majority of patients (15/20) could be discharged from the hospital the day after surgery.
The results of this study show excellent control of combined laryngoceles using the CO2 laser inversion technique, with a short hospital stay and a low rate of complications and recurrence. Even in large combined laryngoceles, CO2 laser excision using the inversion technique should be considered.
4 Laryngoscope, 133:2742-2746, 2023.
摘要：
目的：为了证明经口切除的可行性，甚至很大,使用倒置技术通过内镜CO2激光切除联合喉塞。
方法：一项为期25年的回顾性研究，对20例患者进行了22例合并喉膨出。所有患者均使用CO2激光反转技术进行手术。所有患者均可进行术前和术后计算机断层扫描（CT）扫描或磁共振（MR）成像。
结果：在所有手术中都没有手术问题。一名患者由于气道受损而需要术前气管切开术。所有手术均无术中并发症。术后,有两种并发症:一种是出血，一名患者出现了气道受损的肉芽肿。在两个病人中，术后影像学检查发现残留病变。由于喉癌的这种残留外部成分的进展，其中之一在几年后重新手术。一名患者出现无明显的喉内膨出小复发。该系列的复发率为2/22（9.1％）。大多数患者（15/20）可以在手术后第二天出院。
结论：这项研究的结果表明，使用CO2激光反转技术可以很好地控制联合喉塞，住院时间短，并发症和复发率低。即使在大型合并喉膨出中，应考虑使用反演技术进行CO2激光切除。
方法：4喉镜，133：2742-2746，2023年。
方法：一项为期25年的回顾性研究，对20例患者进行了22例合并喉膨出。所有患者均使用CO2激光反转技术进行手术。所有患者均可进行术前和术后计算机断层扫描（CT）扫描或磁共振（MR）成像。
结果：在所有手术中都没有手术问题。一名患者由于气道受损而需要术前气管切开术。所有手术均无术中并发症。术后,有两种并发症:一种是出血，一名患者出现了气道受损的肉芽肿。在两个病人中，术后影像学检查发现残留病变。由于喉癌的这种残留外部成分的进展，其中之一在几年后重新手术。一名患者出现无明显的喉内膨出小复发。该系列的复发率为2/22（9.1％）。大多数患者（15/20）可以在手术后第二天出院。
结论：这项研究的结果表明，使用CO2激光反转技术可以很好地控制联合喉塞，住院时间短，并发症和复发率低。即使在大型合并喉膨出中，应考虑使用反演技术进行CO2激光切除。
方法：4喉镜，133：2742-2746，2023年。
