经口激光手术治疗声门上癌。

Romeo Y. Lim
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引用次数: 69

摘要

1972年,Strong和Jako将CO2激光引入喉乳头状瘤切除术,开创了喉外科手术的新领域。因为它增加了可视化和止血,减少了组织水肿和发病率,CO2激光提高了显微喉镜手术的有效性。40例声门上鳞癌(T1-T3)行经口CO2激光切除术。其中20例合并颈淋巴结清扫和术后放疗。激光经口入路的优点是方便、可立即恢复吞咽、缩短住院时间、避免气管切开术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Transoral laser surgery for supraglottic cancer.
ABSTRACT Introduction of the CO2 laser by Strong and Jako in 1972 for laryngeal papilloma removal ushered in a new dimension in surgery of the larynx. Because it increases visualization and hemostasis and decreases tissue edema and morbidity, the CO2 laser has enhanced the effectiveness of microlaryngoscopic surgery. Forty patients with squamous cell carcinoma of the supraglottis (T1–T3) underwent transoral CO2 laser resection. Twenty of these patients had a combined neck node dissection and postoperative radiotherapy. Advantages of the laser transoral approach are facility, immediate restoration of swallowing, shortened hospitalization, and avoidance of tracheostomy.
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