結核性声帯後部横隔膜症の1治験例

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Chronic laryngeal stenosis may be of congenital origin, due to cyst, tumor or secondary scar formation caused by infection, intubation or injury. Secondary posterior laryngeal web is a rare case of these chronic laryngeal stenoses and may be developed as a result of prolonged endotracheal intubation or chronic inflammation like syphilis or tuberculosis.In this paper, a case of secondary posterior laryngeal web caused by tuberculosis is reported. A 75-year-old female developed laryngeal adhesion and a web between the posterior halves of the glottis following laryngeal and pulmonary tuberculosis and was suffering from hoarseness and progressive dyspnea.Surgical removal of the web that consisted of thin scar tissue was performed under a microscope with tracheotomy. However, the use of any kind of stent between the raw surfaces of the separated web at the posterior commisure was not attempted. However, no stent was inserted between the raw surfaces of the separated web at the posterior commisureUp to the present, ten months after the surgical treatment, she has been free from any scar formation or recurrent web and has returned to her previous life without hoarseness or dyspnea.
耳鼻咽喉科臨床学会の論文