小児の声門および声門下腔狭窄における Endoscopic Electrosurgical Resection

概要

論文の詳細を見る
Three patients aged from 6 days to 2 years have been successfully treated for glottic or subglottic stenosis of either congenital or acquired origin by endoscopic electrosurgical resection. A Storz infant urethral resectoscope was used for resection of the stenotic lesion. In a 6 day old newborn, the congenital supraglottic web was successfully resected. The patient had been adequately ventilated via a fine catheter passed over the web, and then resection of the web was safely carried out immediately after removal of the ventilating catheter. By this technique, creation of tracheostomy could be avoided. The other tow patients presented with acquired subglottic stenosis due to prolonged endotracheal intubation. In these patients, there had been tracheostomy through which ventilation was maintained during the procedure. For endotracheal circumferential scar, the posterior portion was not excised to avoid the esophageal damage. After the procedure, the patients were managed with an endotracheal stent tube for 2 to 68 days and finally extubated. During the followup period period from 7 to 11 months, there has been no evidence of recurrent airway obstruction in these patients. It has been suggested that endotracheal resection of the stenotic lesion is possible even in a newborn by use of an infant resectoscope.
日本小児外科学会の論文
1983-02-20