Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (4): 129-134.doi: 10.6040/j.issn.1673-3770.0.2021.163

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Experience and lessons of diagnosis and treatment of laryngeal infection after low temperature plasma radiofrequency surgery for early glottic carcinoma

SHI Yuqi1, SHE Cuiping1, ZHANG Qingfeng2, LIU Delong1, JIAO Mengsi1   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, Dalian Municipal Central Hospital of Dalian Medical University, Dalian 116000, Liaoning, China;
    2. Department of Otorhinolaryngology & Head and Neck Surgery, Shenzhen University General Hospital, Shenzhen 518055, Guangdong, China
  • Published:2021-08-05

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Abstract: A retrospective analysis was made of the diagnosis and treatment of laryngeal infection after low-temperature plasma radiofrequency ablation in two cases of early glottic carcinoma. It is considered that the main factors causing thermal injury of laryngeal cartilage in the operation are too deep cuttng, too high gear, too large range and excessive electrocoagulation hemostasis. And laryngeal infection was secondary to cartilage necrosis. Two cases were cured by debridement in the larynx and combined debridement inside and outside larynx, together with anti-infection therapy. Therefore, by analyzing improper diagnosis and treatment, we can draw lessons, so as to provide reference for improving clinicians' ability of diagnosis and treatment of similar diseases.

Key words: Plasma radiofrequency, Laryngeal carcinoma,Glottic, Surgery, Laryngeal infection

CLC Number: 

  • R767.91
[1] 黄志刚. CO2激光手术治疗咽喉部肿瘤[J].山东大学耳鼻喉眼学报, 2018, 32(6):1-3. doi:10.6040/j.issn.1673-3770.1.2018.022. HUANG Zhigang. Treatment of throat tumors with CO2 laser [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018,32(6):1-3. doi:10.6040/j.issn.1673-3770.1.2018.022.
[2] 向奕琳, 江洪, 杨娟, 等. 低温等离子射频消融与CO2激光治疗早期喉癌及癌前病变疗效的Meta分析[J]. 医学综述, 2020, 26(14): 2859-2865. doi:10.3969/j.issn.1006-2084.2020.14.030. XIANG Yilin, JIANG Hong, YANG Juan, et al. Therapeutic efficacy of low-temperature plasma radiofrequency ablation and CO2 laser in treatment of early laryngeal cancer and precancerous lesion: a meta-analysis[J]. Med Recapitul, 2020, 26(14): 2859-2865. doi:10.3969/j.issn.1006-2084.2020.14.030.
[3] 杨晓蓉,景阳.早期声门型喉癌两种微创治疗疗效比较[J].武警医学, 2020,31(7):576-579. doi:10.14010/j.cnki.wjyx.2020.07.007. YANG Xiaorong, JING Yang. Therapeutic effect of two minimally invasive treatments against early glottic carcinoma and influence on patients' quality of life and laryngeal function[J]. Medical Journal of the Chinese People's Armed Police Forces, 2020, 31(7):576-579.doi:10.14010/j.cnki.wjyx.2020.07.007.
[4] Shuang Y, Li C, Zhou X, et al. Outcomes of radiofrequency ablation(RFA)and CO2 laser for early glottic cancer[J]. Am J Otolaryngol, 2016, 37(4): 311-316. doi:10.1016/j.amjoto.2016.03.002.
[5] 章松林, 李建玲, 刘杰. CO2激光联合低温等离子治疗累及前联合早期声门型喉癌的远期预后及并发症观察[J]. 中国肿瘤临床与康复, 2019,26(11): 1200-1203. doi:10.13455/j.cnki.cjcor.2019.11.13. ZHANG Songlin, LI Jianling, LIU Jie. Long-term prognosis and complications in patients with glottic laryngeal carcinoma involving the anterior commissure treated by CO2 laser combined with low-temperature plasma therapy[J]. Chin J Clin Oncol Rehabilitation, 2019,26(11): 1200-1203. doi:10.13455/j.cnki.cjcor.2019.11.13.
[6] 赵龙珠, 焦宏彬, 孙悍军, 等. 经支撑喉镜下低温等离子刀消融术治疗早期喉癌的疗效[J]. 武警医学, 2019,30(11): 976-978. doi:10.14010/j.cnki.wjyx.2019.11.015. ZHAO Longzhu, SUN Hanjun, Clinical efficacy of low temperature plasma ablation for early glottic cancer patients[J]. Med J Chin People's Armed Police Force, 2019, 30(11): 976-978. doi:10.14010/j.cnki.wjyx.2019.11.015.
[7] 沈敏,万俐佳,姜义道.支撑喉镜下微创手术切除早期喉癌配合小剂量放疗的临床效果[J].医学综述,2015,21(11):2097-2098.doi:10.3969/j.issn.1006-2084.2015.11.069. SHEN Min, WAN Lijia, JIANG Yidao. Clinical effects of minimally invasive operation under self-retaining laryngoscope combined with small doses of radiotherapy on treatment for early laryngeal cancer[J]. Med Recapitul, 2015, 21(11), 21: 2097-2098. doi:10.3969/j.issn.1006-2084.2015.11.069.
[8] 李贺杰, 李金秋, 夏轶男, 等. 低温等离子辅助下喉癌切除术后并发喉软骨坏死1例[J]. 中国耳鼻咽喉头颈外科, 2019, 26(5): 283-284. doi:10.16066/j.1672-7002.2019.05.014.
[9] 孙虹,张罗,迟放鲁,等.耳鼻咽喉头颈外科学[M]. 9版. 北京:人民卫生出版社, 2018:343-351.
[10] 周永森.喉癌术后复发的影像学诊断[D].大连:大连医科大学,2007:5-7.
[11] 肖旭平,周恩,肖禹.等离子点状激发射频消融技术治疗早期声门型喉癌(Tis-T1b)31例[J]. 山东大学耳鼻喉眼学报,2021,35(2):60-66. doi:10.6040/j.issn.1673-3770.1.2020.102. XIAO Xuping,ZHOU En,XIAO Yu. Application of radiofrequency ablation with plasma spot excitation in early glottic carcinoma(Tis-T1b)[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(2):60-66. doi:10.6040/j.issn.1673-3770.1.2020.102.
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