支撑喉内镜下环杓关节复位——附8例报告  

Prop-laryngeal endoscopic arytenoid reposition (A report of eight cases with arytenoid subluxation)

作　　者：胡国文[1] 刘洁[1] 刘跃飞[1] 袁佛良[1] 谢民强[2] 

机构地区：[1]广东省佛山市高明区人民医院耳鼻咽喉科,广东佛山528500 [2]广州中山大学附属第三医院耳鼻咽喉头颈外科,广东广州510630

出　　处：《中国耳鼻咽喉颅底外科杂志》2008年第3期208-211,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨经支撑喉内镜下治疗环杓关节半脱位的手术疗效、复位技巧,并讨论与其相关的病因和诊断。方法8例因气管内插管致环杓关节半脱位患者,在支撑喉镜下鼻内镜辅助环杓关节复位术,随访0.5～2年,平均15个月。结果7例1次手术复位成功,声音恢复正常;1例手术失败,声带活动改善不明显。术中术后均未发生其他并发症。结论支撑喉镜内镜下环杓关节复位手术方法简单、安全、成功率高。Objective To evaluate the effect of prop-laryngeal endoscopic arytenoid reposition on arytenoids subluxation, and to discuss the surgical technique, etiology as well as diagnosis of arytenoids subluxation. Methods Eight patients with arytenoid subluxation following endotracheal intubation underwent arytenoid reposition under prop-laryngoscope combined with endoscope from 1 9 9 8 to 2 0 0 5. The patients were followed up 6 to 2 4 months with a mean follow-up time of 15 months. Results The voice of seven patients recovered well after initial operation. One patient got failed. There were no complications during and after operation in all the cases. Conclusion The prop-laryngeal endoscopic arytenoid reposition is a newly described surgical procedure with advantages of simplicity, high safety, and good successful rate.

关 键 词：环杓关节半脱位 气管内插管 喉内镜 复位 

分 类 号：R767.21[医药卫生—耳鼻咽喉科]