Transoral laser surgery for supraglottic cancer.
Transoral laser surgery for supraglottic cancer.
复制标题
经口激光手术治疗声门上癌。
DOI：
10.1089/clm.1995.13.7
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
Romeo Y. Lim
中科院分区：
文献类型：
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作者：
Romeo Y. Lim
1972年Strong和Jako将CO2激光引入喉乳头状瘤切除术，开创了喉外科手术的新领域。因为它增加了可视化和止血，减少组织水肿和发病率，CO2激光增强了显微喉镜手术的有效性。40例声门上型（T1-T3）鳞状细胞癌患者接受了经口CO2激光切除术。其中20例患者接受了颈淋巴结清扫术和术后放疗。激光经口入路的优点是方便，吞咽立即恢复，缩短住院时间，避免气管切开。
ABSTRACT Introduction of the CO2 laser by Strong and Jako in 1972 for laryngeal papilloma removal ushered in a new dimension in surgery of the larynx. Because it increases visualization and hemostasis and decreases tissue edema and morbidity, the CO2 laser has enhanced the effectiveness of microlaryngoscopic surgery. Forty patients with squamous cell carcinoma of the supraglottis (T1–T3) underwent transoral CO2 laser resection. Twenty of these patients had a combined neck node dissection and postoperative radiotherapy. Advantages of the laser transoral approach are facility, immediate restoration of swallowing, shortened hospitalization, and avoidance of tracheostomy.