具有三维外视镜辅助喉腔整形的初步经验
Tetsuji Sanuki1, Naoki Takemoto1, Shogo Sumiya1
1Department of Otolaryngology-Head & Neck Surgery, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
The Laryngoscope
|October 6, 2023
概括
对于喉腔整形手术来说,一种新的3D外视镜方法是可行的. 这种技术提供了可比的声乐结果和教育益处,而不会增加并发症或手术时间.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术技术 手术技术
- 声手术 声手术 声手术
背景情况:
- 喉腔整形涉及声操纵,通常受到可见性差和技术要求的限制.
- 声问题的传统微手术需要专门的解剖学知识和高水平的技能.
- 一个新的3D外视镜提供了立体视图,有可能克服当前喉膜整形技术的局限性.
研究的目的:
- 评估使用3D外视镜进行喉腔整形的可行性.
- 为了比较3D外视镜技术与声手术的传统宏观手术.
- 评估3D外视镜的潜力,以取代现有的喉腔整形方法.
主要方法:
- 一个回顾性病例系列包括28名接受喉腔整形的患者.
- 患者被分为两个组:3D外视镜 (n=12) 和宏观外科手术 (n=16).
- 对手术时间,声乐功能,并发症和工作人员对教育实用性的反进行了比较.
主要成果:
- 在这两组中都没有观察到手术内或术后并发症.
- 在3D外观镜和宏观外科手术组之间,手术持续时间和声功能结果是相似的.
- 医务人员发现3D外观镜对于外科教育和信息共享非常有价值.
结论:
- 对于开放式喉腔整形术,完全使用3D外视镜是可行的.
- 这项初步研究表明,3D外视镜是声手术的可行替代方案.
- 3D外视镜在喉腔整形手术中显示出作为教育工具的潜力.
相关概念视频
Endoscopic Procedures III: Video Capsule Endoscopy
172
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
172
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
229
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
229
Endoscopic Procedures I: Esophagogastroduodenoscopy
138
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
138
Suctioning the Oropharyngeal Airway
239
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
239
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
19
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
19
Endoscopic Studies II: Thoracocentesis
304
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
304


