레이저 수술 후에 생긴 전연합부 협착의 실리콘 판을 이용한 치료 1예
Treatment of Glottic Web of Anterior Commissure after Laser Surgery by Applying Silastic Sheet : A Case Report
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초록
Anterior glottis web is a major cause of voice disruption and dyspnea after surgery at vocal cord anterior commissure. Early glottic cancer involving mucosa of anterior commissure is well-treated by laser surgery, but both side mucosal raw surface are adhesion to each other, so that postoperative stenosis occurs frequently and makes voice worsen. When the web is formed, since it is difficult to observe the undersurface of vocal cord with laryngoscopy, early detection of disease recurrence is hard durng outpatient department follow up. Therefore it is very important to prevent this anterior glottis web, and treating the web of anterior commissure after surgery is necessary. We report a case of anterior glottic web after laser surgery in glottic cancer within mucosa of anterior commissure treated by dissecting with microscissors and applying silastic sheet, resulting improved voice quality and laryngoscopic view.
Abstract
Anterior glottis web is a major cause of voice disruption and dyspnea after surgery at vocal cord anterior commissure. Early glottic cancer involving mucosa of anterior commissure is well-treated by laser surgery, but both side mucosal raw surface are adhesion to each other, so that postoperative stenosis occurs frequently and makes voice worsen. When the web is formed, since it is difficult to observe the undersurface of vocal cord with laryngoscopy, early detection of disease recurrence is hard durng outpatient department follow up. Therefore it is very important to prevent this anterior glottis web, and treating the web of anterior commissure after surgery is necessary. We report a case of anterior glottic web after laser surgery in glottic cancer within mucosa of anterior commissure treated by dissecting with microscissors and applying silastic sheet, resulting improved voice quality and laryngoscopic view.
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