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전신마취 하 후두미세수술이 불가능한 경추 손상 환자에게서 국소마취 하 굴곡내시경 후두 레이저 수술로 치료한 거대한 성대 폴립 1예

A Case of Huge Vocal Polyp in a Patient With Difficult Laryngeal Exposure Treated by Fiberoptic Laryngeal Laser Surgery Under Local Anesthesia

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초록

Indications of fiberoptic laryngeal laser surgery (FLS) procedure have broadened by the development of flexible fiberoptic endoscopes and flexible laser systems. FLS procedure performed under local anesthesia and it is the unique value of FLS. The surgery can be performed on patients who are impossible to undergo general anesthesia and difficult to be exposed by laryngeal microsurgery. Main indication of FLS procedure was small to moderate sized hemorrhagic vocal polyp, but we experienced a case of huge vocal polyp with difficult laryngeal exposure treated by FLS procedure under local anesthesia. The vocal polyp was removed successfully without vocal fold scar through fiberoptic laryngeal laser surgery under local anesthesia.

Abstract

Indications of fiberoptic laryngeal laser surgery (FLS) procedure have broadened by the development of flexible fiberoptic endoscopes and flexible laser systems. FLS procedure performed under local anesthesia and it is the unique value of FLS. The surgery can be performed on patients who are impossible to undergo general anesthesia and difficult to be exposed by laryngeal microsurgery. Main indication of FLS procedure was small to moderate sized hemorrhagic vocal polyp, but we experienced a case of huge vocal polyp with difficult laryngeal exposure treated by FLS procedure under local anesthesia. The vocal polyp was removed successfully without vocal fold scar through fiberoptic laryngeal laser surgery under local anesthesia.

참고문헌 (7)

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  2. 이승원, "굴곡내시경과 레이저를 이용한 후두수술", 대한후두음성언어의학회지, 29(2), pp.76~78 (2018), 대한후두음성언어의학회
  3. Simpson CB, "Office-based procedures for the voice", Ear Nose Throat J, 83(7 Suppl 2), pp.6~9 (2004)
  4. Hirano S, "Photocoagulation of microvascular and hemorrhagic lesions of the vocal fold with the KTP laser", Ann Otol Rhinol Laryngol, 115(4), pp.253~259 (2006)
  5. Ohno S, "Management of vocal fold lesions in difficult laryngeal exposure patients in phonomicrosurgery", Auris Nasus Larynx, 38(3), pp.373~380 (2011)
  6. Broadhurst MS, "Effects of 532 nm pulsed-KTP laser parameters on vessel ablation in the avian chorioallantoic membrane : Implications for vocal fold mucosa", Laryngoscope, 117(2), pp.220~225 (2007)
  7. Lechien JR, "The use of 532-Nanometer-pulsed potassium-titanyl-phosphate(KTP)laser in laryngology : A systematic review of current indications, safety, and voice outcomes", Ear Nose Throat J, 100(1_suppl), pp.4S~13S (2021)[DOI]

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