喉气管狭窄的手术治疗

doi:10.6040/j.issn.1673-3770.0.2016.433

Abstract

Abstract: Objective To explore the operation method and curative effect of laryngeal tracheal stenosis. Methods A retrospective analysis of 16 cases of laryngotracheal stenosis surgery hospitalized in 2009-2015 in the department of otorhinolaryngology, Qianfoshan Hospital of Shandong Province, including 3 cases of laryngotracheal blunt contusion, 1 case of laryngeal papilloma recurrent postoperative stenosis and 1 case of laryngeal cancer following resection of granulation formation were implemented to support CO₂ laser under laryngoscopy. 1 case of laryngeal squamous cell carcinoma, 1 case of adenoid cystic adenoma and 1 case of adenoid cystic carcinoma of the trachea were removed under nasal endoscopy. 1 case of long time endotracheal intubation tracheal stenosis and 1 case of cystadenocarcinoma received tracheal sleeve resection of trachea anastomosis. 1 case of tracheal adenoid cystic carcinoma, 2 cases of thyroid carcinoma and 1 case of tracheal trauma were performed laryngotracheal reconstruction. 1 case of esophageal cancer with advanced laryngeal stenosis and 1 case of laryngeal and tracheal trauma in elderly patient were performed nickel titanium memory alloy stent implantation. Results All were followed up in a duration of 12 -24 months. Except that 2 cases were unable to successfully extubated and were lost after discharge, of which 1 case of laryngotracheal reconstruction placed T tube had still granulation growth and 1 case of nitinol stent implantation after rejection was removed the stent, others were successfully extubated. Conclusion The surgical treatment on laryngotracheal stenosis can obtain good results according to the narrow position and degree.

Key words: Laryngeal stenosis, Tracheal stenosis, Surgical procedures, operative, Subglottic

CLC Number:

R739.65

References

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Surgical treatment of laryngotracheal stenosis.

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