Endoscopic Management of Severe Supraglottic and Posterior Glottic Stenosis Due to Chemotherapy and Radiation  

作　　者：Shaina M. Rubino Michael J. Pitman 

机构地区：[1]Department of Otolaryngology, New York Eye & Ear Infirmary, The Voice & Swallowing Institute, New York, USA [2]New York Medical College, Valhalla, USA

出　　处：《International Journal of Otolaryngology and Head & Neck Surgery》2014年第3期133-136,共4页耳鼻喉（英文）

摘　　要：Combined posterior and supraglottic stenosis (CS) often presents as debilitating dysphonia or dyspnea, secondary to blunt trauma or traumatic intubation. However, CS has proven to be a late complication of chemoradiation therapy. Traditional treatment of combined posterior and supraglottic stenosis (CS) secondary to chemoradiation has been frequently complicated by poor tissue healing. This case study illustrates a novel endoscopic surgical technique employing a large laterally-based flap as a posterior glottic keel by rotating it anteroinferiorly and suturing it in place. As a result of the procedure, the bilateral vocal folds, which were midline and immobile preoperatively, regained normal motion. The supraglottic airway was also restored. Successful endoscopic treatment of CS with bilateral vocal fold immobility is possible using a large laterally-based flap, even in the face of tissue changes secondary to chemoradiation.Combined posterior and supraglottic stenosis (CS) often presents as debilitating dysphonia or dyspnea, secondary to blunt trauma or traumatic intubation. However, CS has proven to be a late complication of chemoradiation therapy. Traditional treatment of combined posterior and supraglottic stenosis (CS) secondary to chemoradiation has been frequently complicated by poor tissue healing. This case study illustrates a novel endoscopic surgical technique employing a large laterally-based flap as a posterior glottic keel by rotating it anteroinferiorly and suturing it in place. As a result of the procedure, the bilateral vocal folds, which were midline and immobile preoperatively, regained normal motion. The supraglottic airway was also restored. Successful endoscopic treatment of CS with bilateral vocal fold immobility is possible using a large laterally-based flap, even in the face of tissue changes secondary to chemoradiation.

关 键 词：POSTERIOR GLOTTIC STENOSIS SUPRAGLOTTIC STENOSIS Combined GLOTTIC STENOSIS RADIATION ENDOSCOPIC Surgery 

分 类 号：R73[医药卫生—肿瘤]