Novel application of a rigid curved larygno-pharyngoscope for examination and treatment of hypopharyngeal lesions

Novel application of a rigid curved larygno-pharyngoscope for examination and treatment of hypopharyngeal lesions
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DOI:
10.1016/j.anl.2017.04.006
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发表时间:
2018-04-01
期刊:
影响因子:
1.7
通讯作者:
Katori, Yukio
Katori, Yukio
中科院分区:
医学3区
文献类型:
--
作者:
Watanabe, Kenichi;Yamauchi, Daisuke;Katori, Yukio

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在内窥镜咽喉手术(ELPS)中,Sato博士等人发明的刚性弯曲咽喉镜,对于获得下咽部甚至食管入口的良好手术视野是必要的。我们已经使用该仪器检查和治疗了几种位于下咽部的癌症以外的疾病,如难以发现的埋藏鱼骨、咽后脓肿和先天性梨状窝瘘。结果,我们可以获得更好的下咽视图,并安全地完成预期的手术,特别是对于发现难以发现的鱼骨埋在粘膜。即使是在很难在该仪器下操作的情况下,也可以使用该仪器对病变进行详细观察。刚性弯曲喉镜提供了一个具有挑战性的空间,下咽广泛和清晰的看法。我们建议在难以找到埋藏的鱼骨或咽后脓肿的情况下使用这项技术,同时避免颈部切口。(C)2017爱思唯尔B.V.保留所有权利。
In endoscopic laryngo-pharyngeal surgery (ELPS), a rigid curved laryngo-pharyngoscope, which was invented by Dr. Sato et al., is necessary to obtain excellent surgical view of both hypopharynx and even the entrance of the esophagus. We have used this instrument for the examination and treatment of several diseases other than cancer located in the hypopharynx, such as difficult-to-find buried fish bones, retropharyngeal abscess, and congenital pyriform sinus fistula. In the result, we could acquire better view of hypopharynx and completed the intended procedure safely, especially for uncovering difficult-to-find fish bone buried in the mucosa. Even in the cases hardly to operate under this instrument, just use for detailed observation of the lesion was available. A rigid curved laryngo-pharyngoscope provides a wide and clear view of a challenging space, the hypopharynx. We recommend using this technique in cases such as difficult-to-find buried fish bones or retropharyngeal abscesses while avoiding a neck incision. (C) 2017 Elsevier B.V. All rights reserved.