重度軟喉症患者的手術處置

Surgical Management of Severe Laryngomalacia

李國森(Kuo-Sheng Lee) ； 陳湘龍(Hsiang-Lung Chen) ； 楊政謙(Cheng-Chien Yang) ； 黃志銘(Chih-Ming Huang) ； 徐銘燦(Min-Tsan Shu)

《中華民國耳鼻喉科醫學會雜誌》 32卷3期 (1997/06) Pp. 235-240

https://doi.org/10.6286/1997.32.3.235

摘要

軟喉病是嬰兒最常見的先天性喉部疾病，也是臨床上造成嬰兒喘鳴最主要的原因，大多數的患者症狀中輕微且會自動痊癒，然而有10%的患者屬於重度的軟喉症，需要接受手術治療。本科針對15名重度的軟喉症患者以二氧化碳雷射施行聲門上區成形術(supraglottoplasty)，87%的患者經手術後評估可改善其呼吸道阻塞以及其它相關的徵候。今將其手術適應症、手術方法、預後及併發病作進一步的分析討論。

關鍵字

軟喉症 ； 聲門上區成形術

並列摘要

Larynogomalacia is both the most common congenital laryngeal anomaly and the most frequent cause of stridor in infants. The majority of cases resolve spontaneously. In approximately 10% of these infants, the laryngomalacia is severe and requires surgical intervention. Our experience with 15 children who underwent supraglottoplasty is reported. In most cases, their airway problems and associated symptoms have been resolved after surgery. The symptoms and signs, surgical methods and complications, and prognosis of laryngomalacia are discussed.

並列關鍵字

laryngomalacia ； supraglottoplasty