检索结果-南通市图书馆

Formation of granulation tissue on bilateral vocal cords after doublelumen endotracheal intubation:A case report

World Journal of Clinical Cases 2022年第34期10卷 12690-12695页

作者： Xiao-Juan Xiong Li Wang Ting Li Department of Anesthesiology Army Medical Center of PLADaping HospitalArmy Medical UniversityChongqing 400042China

BACKGROUND Most case reports on laryngeal granuloma formation have described patients after tracheotomy and single-lumen endotracheal *** studies have investigated vocal cord granuloma formation after double-lumen endotracheal(DLT)*** SUMMARY We report granulation tissue formation on the bilateral vocal cords after DLT intubation in a 45-year-old,153-cm-tall female *** imaging reports showed no formation of vocal cord granuloma before DLT ***,we inferred that DLT intubation may have been the main reason for the postoperative granulation tissue formation on her bilateral vocal cords,based on the patient’s history of DLT intubation,persistent hoarseness after thoracic surgery,and fibrolaryngoscopic and pathological reports during 12 mo *** Thirty-two Fr DLT tubes should be utilized for thoracic surgery on female patients who are shorter than 153 cm in height.

关键词： DLT Double-lumen endotracheal Granulation vocal cords Case report

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Clinical classification and treatment of leukokeratosis of the vocal cords

引用

Chinese Medical Journal 2013年第18期126卷 3523-3527页

作者： MA Li-jing WANG Jun XIAOYang YE Jing-ying XU Wen YANG Qing-wen Department of Otorhinolaryngology-Head and Neck Surgery and Beijing Institute of Otorhinolaryngology Beijing Tongren Hospital Affiliated to Capital Medical University Key Laboratory of Otolaryngology Head and Neck Surgery Ministry of Education Beijing 100730 China

Background Leukokeratosis of the vocal cords is a clinical descriptive diagnosis, which includes a group of squamous intraepithelial lesions of the vocal cord mucosa. We investigated the clinical classification and treatment efficacy of leukokeratosis of the vocal cords. Methods We conducted a retrospective analysis of the medical history, laryngoscopic examinations, morphological features under a surgical microscope, and pathology results of 360 cases of leukokeratosis of the vocal cords to examine correlations among treatment modalities, therapeutic effects, and clinical features. Results All cases were divided into four types based on symptoms, examination results, and treatment efficacies as follows： 21 patients had type I inflammatory leukoplakia and their vocal cord morphology and voice quality recovered after conservative therapies; 76 patients had type II frictional polyps and received CO2 laser submucosal cordectomy; 68 patients had type III sulcus vocalis and received mucosal slicing with dredging; and 195 cases had type IV simple leukokeratosis and received partial subligamental cordectomy with CO2 lasers or transmuscular cordectomy. Our treatment achieved a surgical cure rate of 90.9% （308/339）, with a recurrence rate of 9.1% （31/339） and malignant transformation rate of 6.5% （22/339）. All cancerous transformations occurred in type IV patients. Conclusion Choosing conservative or C02 laser surgery based on the morphological characteristics of squamous epithelial lesions of keratinized vocal cord mucosa can maximally protect voice quality, reduce complications, and improve the cure rate.

关键词： vocal cords leukokeratosis inflammation malignant CO2 lasers

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Clinical Observations on 109 Cases of vocal Nodules Treated with Acupuncture and Chinese Drugs

引用

Journal of Traditional Chinese Medicine 2000年第3期20卷 202-205页

作者：杨淑荣 Affiliated Hospital of Jiangxi College of Traditional Chinese Medicine Nanchang 330006

　　The treatment of vocal nodules with the combined use of needling on Kaiyin Yihao Xue (开音一号穴Kai Yin Point No. 1 for Voice-Regaining) and medicinal spray and tea made according to Xie Qiang’s empirical prescription, obtained a total effective rate of 93.6%, obviously superior to that of the group treated with western medicine and the group simply treated by Chinese drugs (Pvocal nodules has better therapeutic effect and requires shorter course of treatment.

关键词： Acupuncture Therapy Adolescent Adult Drugs, Chinese Herbal Female Humans Laryngeal Diseases Male Middle Aged vocal cords

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

vocal cord mucosal flap for the treatment of acquired anterior laryngeal web

引用

Chinese Medical Journal 2014年第7期127卷 1294-1297页

作者： Xiao Yang Wang Jun Han Demin Ma Lijing Ye Jingying Xu Wen Department of Otolaryngology Head and Neck Surgery Beijing Tongren Hospital Capital Medical University Beijing 100730 China

Background Anterior glottic web is one type of laryngeal *** surgical methods had some drawbacks,such as large surgical trauma,long postoperative recovery time,and multiple-stage *** study aimed to explore better treatment to repair anterior glottis *** We performed vocal cord mucosal flap procedure on 32 patients with anterior laryngeal *** subjects received vocal cord scar releasing and vocal cord mucosal flap repair and suture under general anesthesia with selfretaining *** All 32 patients completed surgery in one stage,without postoperative laryngeal edema,difficulty in breathing,or other *** the surgery,the anterior commissure of vocal cords recovered to a decent triangle shape in 28 patients; however,in four patients there were 2 to 3 mm adhesion residuals on the anterior ends of the vocal cords,accompanied by scar appearance of bilateral vocal *** GRB score,voice handicap index scores,and maximum phonation time score significantly improved in all patients after the *** was no evidence of recurrent laryngeal webbing in the 6-rnonth *** vocal cords mucosal flap repair surgery has the advantages of less trauma,quick recovery,and significant improvement of the voice in the treatment of laryngeal webs.

关键词： vocal cords microsurgery suture techniques glottic web

来源：

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Place of Partial Arytenoidectomy in the Management of Bilateral vocal Cord Immobilitis

引用

International Journal of Otolaryngology and Head & Neck Surgery 2023年第3期12卷 163-172页

作者： Alexis do Santos Zounon Ulrich B. Vodouhe Vanessa Aissi Wassi Adjibabi Georges Lawson ENT-HNS Department FSS Cotonou Abomey Calavi University Cotonou Republic of Benin

Surgical management of laryngeal paralysis varies depending on whether the vocal cords are in abduction, adduction or paramedian position. Various surgical techniques have been described including partial arytenoidectomy which is reported to give good surgical results that are stable over time. The objective of the study was to analyze the surgical therapeutic elements of bilateral paralysis, especially to assess partial arytenoidectomy, one of the most performed techniques. This was a descriptive retrospective study of cases of bilateral immobility admitted between January 1st 2008 and March 31st 2018 and treated surgically. Socio-demographic and therapeutic data were collected. The survey involved 46 patients, with an equal number of male and female (23) with 50% of male patients and 23 patients were female, or a sex ratio of 1. The average age of the patients was 56 ± 17 years ranging between 14 and 89 years. Posterior partial arytenoidectomy was the most widely performed surgical technique (26 patients or 56.5%), followed by cordopexia or lateral-fixing of a vocal cord (19.6%) and posterior cordectomy (17.4%). Patients who received a partial arytenoidectomy and cordopexia had their vocal cords either in adduction or in the paramedian position. Those who received a posterior cordectomy had their vocal cords in adduction. 18 patients (39.13%) were taken to the operating theatre in less than 6 hours, 28 (60.9%) had no post-operative complications, and 9 patients received a surgical enlargement resumption. In post-operative follow-up, 11 patients suffered pulmonary aspiration corrected after speech therapy;26 patients (56.5%) did not. Partial arytenoidectomy remains the most performed surgical procedure in the management of closed bilateral laryngeal paralysis at the Mont-Godinne University Hospital. It allows a reliable and durable breathing function over time with less impact on the voice.

关键词： vocal cords Bilateral Laryngeal Paralysis Surgery Partial Arytenoidectomy

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

在线全文

在线全文

在线全文

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：