How to improve the endoscopic view of the hypopharynx: Validation of our novel modified Killian's Method to expose the hypopharynx in 20 subjects

How to improve the endoscopic view of the hypopharynx: Validation of our novel modified Killian's Method to expose the hypopharynx in 20 subjects
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如何改善下咽部的内窥镜视野:在 20 名受试者中验证我们新颖的改良基利安方法以暴露下咽部

DOI:
10.1111/coa.13172
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发表时间:
2018
影响因子:
2.1
通讯作者:
Iida M.
Iida M.
中科院分区:
医学3区
文献类型:
--
作者:
Sakai A.;Okami K.;Ebisumoto K.;Yamamoto H.;Saito K.;Maki D.;Furuya H.;Iida M.

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观察下咽部的整个圆周是非常困难的,因为它是一个封闭的区域。但在临床上对肿瘤的诊断和治疗后的评价必须观察这一区域。近年来,内视镜检查技术的进步,使得下咽部浅表癌的发现率大增。然而,诸如下咽部的封闭空间仍然难以观察,因此迫切需要新的可视化方法。尽管尝试了几种暴露下咽部的方法,但我们发现使用它们不可能获得满意的视野。为了解决这个问题,我们设计了一种新的方法,通过修改基利安位置7,我们指定的修改基利安(MK)的方法。8 MK方法可以方便地进行下咽间隙的圆周观察。我们认为MK法在内窥镜检查中对所有情况都是非常有用的。然而,目前还没有研究证明MK方法的优越性。而且,这种有用的方法并不为世界上大多数耳鼻喉科医生所熟知。因此,在这项研究中,我们想证明MK方法的有效性显着优于传统的方法上级。
Observation of the entire circumference of the hypopharynx is very difficult because it is a closed area. However, we must observe this area in the diagnosis of cancer and the evaluation after treatment in clinical practice. Recently, remarkable improvements in endoscopic technology have enabled the detection of superficial cancers in hypopharynx frequently. 1 Nevertheless, closed spaces such as the hypopharynx remain difficult to observe, and novel visualization methods are thus urgently required. Although several methods to expose the hypopharynx are tried, 2-7 we found it impossible to use them to obtain a satisfactory visual field. To address this problem, we devised a novel method by modifying the Killian position7 which we designated the Modified Killian’s (MK) method. 8 The MK method makes it possible to easily perform circumferential observations of the hypopharyngeal space. We consider that MK method is very useful for all situations in endscopic examinations. However, there is a few study to prove the advantage of MK method yet. And also, this useful method is not well-known by the most otolaryngologists worldwide. Therefore, in this study, we would like to demonstrate the validity of the MK method significantly superior to the conventional methods.
在喇叭动作期间通过颈前牵引改善下咽部的内窥镜视野。
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