Powered instrumentation in laryngeal surgery
Powered instrumentation in laryngeal surgery
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喉科手术中的动力器械
DOI：
10.1053/otot.2002.30511
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发表时间：
2002
期刊：
影响因子：
--
通讯作者：
C. Myer
中科院分区：
文献类型：
--
作者：
Mark A. Williams;P. G. Allen;C. Myer
最近在喉部手术中使用的电动微型清理器显著改变了声门上型病变的外科治疗。我们已经成功地使用这些显微切除器治疗了40多名患有呼吸道乳头状瘤、声带病变或血管疾病的儿童患者。在使用路易氏悬液系统(宾夕法尼亚州华盛顿堡皮林)定位患者之前，通常进行直接喉镜检查和支气管镜检查。这使得在手术干预之前能够确定疾病的程度和确定重要的标志。一旦患者被适当地悬吊并充分显示喉部，就可以放置手术显微镜，以便在直接可见下彻底切除病变。与使用CO2激光相比，该技术具有以下优点：(1)在麻醉/通风的选择上有更大的灵活性；(2)喉部热损伤的风险较低；(3)术中人员和设备费用较低。
The recent use of powered microdebriders in laryngeal surgery has significantly altered the surgical management of supraglottic lesions. We have successfully used these microresectors to treat more than 40 pediatric patients with respiratory papillomas, vocal cord lesions, or vallecular disease. Before positioning the patient with the Lewy suspension system (Pilling, Fort Washington, PA), direct laryngoscopy and bronchoscopy are often performed. This enables determination of the extent of disease and identification of important landmarks before operative intervention. Once the patient is properly suspended and the larynx is adequately visualized, the operating microscope may be positioned, allowing the lesion to be thoroughly resected under direct visualization. Some advantages this technique offers over the use of CO 2 laser include (1) greater flexibility in selection of anesthesia/ventilation; (2) lower risk of thermal injury to the larynx; and (3) lower intraoperative personnel and equipment expenses.