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通过皮肤进行喉升高技术,以在口腔外科手术中实现出色的下喉暴露
Satoshi Koyama1, Toru Kimura1, Ryohei Donishi1
1Department of Otolaryngology Head and Neck Surgery, Tottori University Faculty of Medicine, 36-1 Nishicho, Yonago, Tottori 683-8504, Japan.
Auris, nasus, larynx
|October 30, 2024
概括
皮肤喉提升技术 (PLET) 改善了喉癌的内镜喉手术 (ELPS) 期间的喉暴露,特别是在严重的三症患者中. 这种安全而简单的方法有助于切除瘤.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 手术瘤学手术瘤学
背景情况:
- 内镜喉手术 (ELPS) 是一种跨口治疗早期喉和喉上部癌症的方法.
- 在日本,ELPS经常用于下腺癌切除.
- 在标准ELPS期间,严重的三症可能会阻碍足够的下腔暴露.
研究的目的:
- 引入和评估皮肤喉提升技术 (PLET),以改善喉下部的暴露.
- 评估PLET在患有严重三症的患者中进行ELPS治疗下癌的疗效和安全性.
主要方法:
- 开发了皮肤喉提升技术 (PLET),包括皮肤接和喉的腹部提升.
- 在初始口腔开口手术和ELPS后,在患有下腺癌和严重三症的患者中应用PLET.
- 在PLET后对下喉暴露改善和瘤切除充分性的评估.
主要成果:
- PLET显著增强了鼻下部的暴露,使整个瘤的可视化和切除具有足够的外科手术边缘.
- 该技术成功地应用于患有严重三症的患者,原因是先前的手术和放射治疗.
- 没有观察到与PLET相关的手术内或术后并发症.
结论:
- 在ELPS期间,PLET是一种有效,易于执行和安全的辅助措施,用于改善下喉暴露.
- 这种技术可以促进口腔开口受限的患者的口腔外科手术,例如那些患有严重三症的患者.
- PLET提供了一种有价值的解决方案,以克服喉癌手术中的暴露挑战.
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