gms | German Medical Science

82. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

01.06. - 05.06.2011, Freiburg

Contact laser surgery of paralytic laryngeal stenosis

Meeting Abstract

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Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 82. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Freiburg i. Br., 01.-05.06.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11hnod023

DOI: 10.3205/11hnod023, URN: urn:nbn:de:0183-11hnod0233

Veröffentlicht: 19. April 2011

© 2011 Karpischenko.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

During last 15 years in ENT Department of Saint Petersburg I.P.Pavlov Medical University 106 patients underwent laser endoscopic resections of posterior third of vocal fold and vocal process of arytenoid. There were 2 male patients and 104 female. Our previous experience shows that this type of laser resection is the most effective in comparison with chordectomy and arytenoidectomy. In non tracheotomysed patients we performed surgical procedures under general anesthesia with high frequency jet ventilation via tracheopuncture. Pre- and postoperative patients were examined with indirect- and fibrolaryngoscopy, measurement of rima glottidis and respiratory function assessment was performed. Total number of partial laser chordarytenoidectomies was 117. Among them 81 operations made on the left side and 36 operations made on the right side. Unilateral resection was an adequate one for respiratory function rehabilitation in 95 patients. Bilateral resection was performed in 11 patients. Laser beam produces a low inflammation after resection. So, no one patient was tracheotomised in postoperative period. 43 patients of the total number of patients were tracheotomised before their hospitalization to our Clinic. Some of them had a combination of bilateral vocal cord paralysis and the granulations to be founded at cannula level. Complications were observed in 6 cases: 5 interarytenoid scar bridges, 1 postoperative bleeding. Bleeding was stopped by catheter with cuff. Scar bridges were reoperated successfully. All cannula patients were decannulated.