USE OF THE CARBON-DIOXIDE LASER WITH THE MONTGOMERY T-TUBE IN THE MANAGEMENT OF EXTENSIVE SUBGLOTTIC STENOSIS

USE OF THE CARBON-DIOXIDE LASER WITH THE MONTGOMERY T-TUBE IN THE MANAGEMENT OF EXTENSIVE SUBGLOTTIC STENOSIS
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DOI:
10.1017/s0022215100121000
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发表时间:
1992-09-01
影响因子:
1.7
通讯作者:
SALAM, MA
SALAM, MA
中科院分区:
医学4区
文献类型:
--
作者:
WHITEHEAD, E;SALAM, MA

文献摘要

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声门下和气管狭窄经常出现治疗困难。本文报告2例经长时间气管插管后发生声门下狭窄的病例,瘢痕组织完全阻塞的垂直长度大于2.5 cm。其中一例通过使用激光和立即插入支架成功治疗。另一个病例仍然需要门下支架植入,尽管通过激光汽化狭窄段建立了良好的管腔。
Subglottic and tracheal stenosis frequently present difficulties in management.Two cases of subglottic stenosis occurring after prolonged endotracheal intubation are presented where the vertical length of complete obstruction by scar tissue was greater than 2.5 cm. One case was successfully managed by the use of the laser and immediate insertion of a stent. The other case still requires subglottic stenting, although an excellent lumen was established by laser vaporization of the stenosed segment.