CO2 Laser Division of Neo-Vallecula Improves Dysphagia in the Postlaryngectomy Patient: A Case Series and Review of the Literature.

IF 0.4 Q4 OTORHINOLARYNGOLOGY
Case Reports in Otolaryngology Pub Date : 2020-10-19 eCollection Date: 2020-01-01 DOI:10.1155/2020/4015201
Mohamad Z Saltagi, Chelsey A Wallace, Avinash V Mantravadi, Michael W Sim
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引用次数: 1

Abstract

Objectives: To review the literature on neo-vallecula diagnosis and management and to report our findings regarding 3 patients who developed neo-vallecula in the context of free-flap pharyngeal reconstruction following total laryngectomy.

Methods: This case series reports three patients who developed a neo-vallecula following a laryngectomy and free-flap pharyngeal reconstruction. All three patients were treated with a CO2 laser endoscopic procedure.

Results: Neo-vallecula formation is thought to be related to tension on the neopharyngeal closure or closure technique following total laryngectomy. Diagnosis may be obtained with swallow studies, videofluoroscopy, or endoscopy. Treatment has included external excision and endoscopic procedures such as stapling, harmonic scalpel excision, and laser removal. We utilized an endoscopic approach entailing the use of a CO2 laser to divide the neo-vallecula, and all our patients reported improvement in their dysphagia.

Conclusions: Treatment of an anterior neo-vallecula endoscopically using a CO2 laser is an effective way to treat dysphagia in patients following total laryngectomy with free-flap pharyngeal reconstruction.

Abstract Image

Abstract Image

CO2激光分割新瓣膜改善喉切除术后患者的吞咽困难:一个病例系列和文献综述。
目的:回顾有关新小静脉瘘的诊断和治疗的文献,并报告我们在全喉切除术后自由瓣咽重建术中发现的3例新小静脉瘘。方法:本病例系列报告了三例在喉切除术和自由瓣咽部重建后出现新小静脉瘘的患者。所有三例患者均接受CO2激光内窥镜治疗。结果:新小囊的形成被认为与全喉切除术后新咽闭合或闭合技术的张力有关。诊断可通过吞咽检查、透视或内窥镜检查获得。治疗包括外部切除和内窥镜手术,如吻合器、谐波手术刀切除和激光切除。我们采用内窥镜方法,使用CO2激光分离新瓣膜,所有患者都报告他们的吞咽困难得到改善。结论:CO2激光治疗新小静脉前路内镜下吞咽困难是治疗喉全切除术后自由瓣咽部重建术患者吞咽困难的有效方法。
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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来源期刊
Case Reports in Otolaryngology
Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-
自引率
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审稿时长
13 weeks
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