Transoral Flexible Laser Posterior Transverse Cordotomy with Blue Laser: A Case Describing a New Surgical Approach.

Jerome R Lechien, Emily Bui Quoc
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Abstract

The posterior transverse cordotomy (PTC) can be performed for posterior glottic stenosis (PGS) in the operating room through suspension laryngoscopy. This procedure requires adequate exposure of the vocal cords. An alternative PTC approach was carried out on a 56-year-old man without a view of the vocal cords during suspension laryngoscopy. After anteriorizing the hypertrophic tongue with a glide scope, the surgeon reached the vocal folds through a flexible nasofibroscopy with an operative channel. The adequate exposure of the posterior part of the vocal cords allowed the blue laser PTC through the operative channel in the cut setting. The postoperative outcomes were adequate in the follow-up period. This paper describes an alternative approach to PTC in a patient with PGS and several unsuccessful laryngeal exposures.

经口柔性激光蓝色激光后横Cordotomy:一例描述新的手术入路。
后横cordotomy (PTC)可在手术室内通过悬挂喉镜对后声门狭窄(PGS)进行手术治疗。这个手术需要充分暴露声带。我们对一名56岁的男性进行了另一种PTC入路,该入路在悬吊喉镜检查中没有看到声带。在用滑动镜对肥大的舌头进行前化处理后,外科医生通过带手术通道的柔性鼻纤维镜到达声带。声带后部的充分暴露使蓝色激光PTC在切口设置中通过手术通道。术后随访结果良好。本文描述了一种替代的PTC入路,在病人的PGS和几个不成功的喉部暴露。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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