Endoscopic cordectomy. a proposal for a classification by the Working Committee, European Laryngological Society
Endoscopic cordectomy. a proposal for a classification by the Working Committee, European Laryngological Society
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DOI：
10.1007/s004050050228
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发表时间：
2000-04-01
影响因子：
2.6
通讯作者：
Wustrow, TPU
中科院分区：
文献类型：
--
作者：
Remacle, M;Eckel, HE;Wustrow, TPU
欧洲喉学会建议对不同的喉内镜下声带切除术进行分类，以确保更好地定义术后结果。我们选择保留“脊髓切除术”这个词，即使是部分切除，因为它是外科文献中最常用的术语。该分类包括八种类型的声带切除术：上皮下声带切除术（I型），即切除上皮;下颏声带切除术（II型），即切除上皮、Reinke间隙和声带韧带;经肌声带切除术（II型），（III型），通过声带肌肉进行;声带扩大切除术包括对侧声带和前连合（Va型），声带扩大切除术包括杓状软骨（Vb型），声带扩大切除术包括声门下（Vc型），以及包括心室的扩大脊髓切除术（Vd型）。进行这些声带切除术的适应症可能因外科医生而异。根据手术入路和切除程度对手术进行分类，以便于在日常实践中使用分类。每个外科手术都确保有一个标本可用于组织病理学检查。
The European Laryngological Society is proposing a classification of different laryngeal endoscopic cordectomies in order to ensure better definitions of postoperative results. We chose to keep the word "cordectomy" even for partial resections because it is the term most often used in the surgical literature. The classification comprises eight types of cordectomies: a subepithelial cordectomy (type I), which is resection of the epithelium; a subligamental cordectomy (type II), which is a resection of the epithelium, Reinke's space and vocal ligament; transmuscular cordectomy (type III), which proceeds through the vocalis muscle; total cordectomy (type IV); extended cordectomy, which encompasses the contralateral vocal fold and the anterior commissure (type Va); extended cordectomy, which includes the arytenoid (type Vb); extended cordectomy, which encompasses the subglottis (type Vc); and extended cordectomy, which includes the ventricle (type Vd). Indications for performing those cordectomies may vary from surgeon to surgeon. The operations are classified according to the surgical approach used and the degree of resection in order to facilitate use of the classification in daily practice. Each surgical procedure ensures that a specimen is available for histopathological examination.