XXXVI. Chronic Laryngeal Stenosis

XXXVI. Chronic Laryngeal Stenosis
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三十六.

DOI:
10.1177/000348943504400206
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发表时间:
1935
期刊:
影响因子:
--
通讯作者:
N. Owens
N. Owens
中科院分区:
--
文献类型:
--
作者:
F. Lejeune;N. Owens

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在耳鼻喉科,可能没有任何一种疾病比慢性喉狭窄更危险、更令人担忧,也没有任何一种疾病比慢性喉狭窄更能准确地考验喉科医生的创造力。这种情况一直令人困惑,始终抵制最大的努力,以实现令人满意的解决方案,直到相对较短的时间之前,几乎每一个案例都是一个未完成的问题。Schmieglow指出,不到50年前,慢性喉狭窄被认为是无法治愈的。直到1870年,冯·施罗特通过用锡螺栓和硬印度橡胶进行扩张来治疗这种疾病,这被认为是革命性的。1885年,O'Dwyer强烈主张插管,后来报告了一系列他用这种方法成功治疗的五例病例。1890年,Leffaly展示了他的仪器,用于成人喉狭窄的插管。在过去的50年里,慢性喉狭窄的治疗取得了令人鼓舞的进展。令人欣慰的是,50年前被认为是不可治愈的疾病,今天可以用现代方法治疗,并期望获得满意的结果,良好的功能和公平的治疗方法。
Probably no condition in otolaryngology is associated with more danger and concern or gives a more accurate test of the ingenuity of the laryngologist than chronic laryngeal stenosis. This condition has always been perplexing, consistently resisting the best efforts to effect a satisfactory solution, and until a comparatively short time ago practically every case was an unfinished problem. Schmieglow states that not more than fifty years ago chronic stenosis of the larynx was considered incurable. As late as 1870 von Schroetter's treatment of this condition by means of dilatation with tin bolts and hard India rubber was considered revolutionary. O'Dwyer, in 1885, strongly advocated intubation and later reported a series of five cases which he had successfully treated by this method. Lefferts, in 1890, demonstrated his instrument for intubation in cases of laryngeal stenosis in adults. Progress in the treatment of chronic laryngeal stenosis during the past fifty years has been most encouraging. It is gratifying to know that a condition considered incurable fifty years ago may be treated today by modern methods with the expectation of satisfactory results, good function and a fair approach toward nor-