Applying a rigid curved video laryngoscope in laryngeal microsurgery of patients with difficult laryngeal exposure
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摘要: 目的 测试一种自研的弯曲硬管可视喉镜配合刚性弯曲手术器械在困难气道条件下行声带息肉切除手术的可行性。方法 对13例声门暴露困难的患者采用自研的弯曲硬管可视喉镜配合刚性弯曲手术器械行声带息肉切除术。结果 13例困难气道患者的声带息肉暴露率为100%，手术成功7例。结论 自研的弯曲硬管可视喉镜配合刚性弯曲手术器械能够有效地解决困难气道患者的声带暴露问题，具有暴露充分、创伤小及操作精细等优点，但手术的操作空间狭小，操控性差，手术成功率比较低，尚不能替代传统的显微支撑喉镜声带息肉切除术，但仍有很大的改进潜力。Abstract: Objective To test the feasibility of a rigid curved video laryngoscope in laryngeal microsurgery of patients with difficult laryngeal exposure.Methods Thirteen patients with difficult laryngeal exposure underwent microlayngeal surgery using a new-design rigid curved video laryngoscope. The clinical data were collected and analyzed.Results In all of the 13 patients with difficult laryngeal exposure, the fully exposure rate of glottis was 100% using a new-design rigid curved laryngoscope.But only 7 precise surgeries using our rigid curved instruments were completed successfully.Conclusion Rigid curved laryngoscope is a useful tool to in treating patients with difficult laryngeal exposure in microlaryngeal surgery. Satisfactory glottis exposure, magnified surgical field and precise maneuver of the lesions could be achieved. But manipulation of this tool is challenging, which warrants further investigation.
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