交通外傷後に喉頭狭窄,気道狭窄をきたした1症例

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Because traffic accident trauma of the larynx cause variable changes depending on the degree and region of injury, it is difficult to decide on a method of treatment for each patient. In this case, we treated a 69-year-old woman with severe laryngeal stenosis. After we recognized by 3-D imaging that her thyroid cartilage was broken and displaced, we performed laryngoplasty, but granulation and stenosis soon recurred. We performed laryngo-micro surgery (LMS) with a CO<SUB>2</SUB> laser three times, inserting a T-tube into her larynx at the 2nd and 3rd LMS, but the disease recurred again. We performed laryngoplasty once again and inserted another type of T-tube for three months. With this procedure we succeeded in establishing a sufficient airway and functional voice almost without aspiration.
耳鼻咽喉科臨床学会の論文