Use of the endoscopic microdebrider in the management of airway obstruction from laryngotracheal carcinoma

被引:26
|
作者
Simoni, P [1 ]
Magnuson, JS [1 ]
Peters, GE [1 ]
Carroll, WR [1 ]
机构
[1] Univ Alabama, Div Otolaryngol Head & Neck Surg, Birmingham, AL 35233 USA
来源
关键词
airway obstruction; endoscopic microdebridement; laryngeal microdebrider; laryngotracheal carcinoma;
D O I
10.1177/000348940311200103
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Endoscopic debridement of obstructing laryngotracheal carcinoma with the microdebrider is an alternative to CO2 laser excision or emergency tracheotomy. This is a retrospective study of 27 patients with advanced laryngotracheal carcinoma treated with the microdebrider for airway obstruction from 1998 to 2002. In 26 patients, the carcinoma was debrided successfully and tracheotomy was safely avoided. Postoperative bleeding was encountered in 1 patient with a coagulopathy. Two of the patients later required tracheotomy during radiotherapy secondary to radiation-induced laryngeal edema. Both were safely managed without acute airway compromise. Laryngeal debridement provided up to 3 months of stable airway until definitive oncological treatment was performed. Endoscopic microdebridement of obstructing carcinoma is a relatively simple and highly accurate approach to restoring a stable airway. It provides extra time for preoperative oncological, psychological, and nutritional planning.
引用
收藏
页码:11 / 13
页数:3
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