Artikel
Endoscopical removal of extended laryngopharyngeal benign tumor without employment of intubation and tracheostomy
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Autoren
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Sergey Karpischenko
- I.P.Pavlov State Medical University, Saint Petersburg, Russia
| Veröffentlicht: | 4. April 2012 |
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Gliederung
Text
Stenotic laryngopharyngeal benign tumors are a rare pathology. In our practice we had several observations of large cysts, papillomas, lipomas, granulomas and in one case we observe piriform sinus leomyoma.
In situation of non-fixed tumors with “valve”mechanism of flotation in case when passive expiration is possible we use our conventional approach of high-frequency jet ventilation via tracheopuncture as alternative to classic intubation and tracheostomy.
The idea of our presentation is to show an example of large leomyoma endoscopical removal, the wide possibilities of our ventilation method as for traditional surgical diseases of the larynx and for radical surgery of extended casual tumors.
Esophagus is the most typical organ for leomyomas. In present case a point of tumor growth was piriform sinus. The main cause of stenotic rise was prolonged anamnesis and late diagnosis. Leomyoma blocked laryngopharyngeal space causing the symptoms of breathing and swallowing disability.
Our conventional approach with use of semiconductor surgical laser was effective and radical.
