輪状軟骨部分壊死を伴った声門下狭窄の治療

• 箕山 学

  大阪赤十字病院耳鼻咽喉科・気管食道科

• 田辺 正博

  大阪赤十字病院耳鼻咽喉科・気管食道科

• 田中 信三

  大阪赤十字病院耳鼻咽喉科・気管食道科

書誌事項

タイトル別名

• Treatment of Laryngotracheal Stenosis with Cricoid Cartilage Necrosis.

抄録

Two patients with inflammatory stenosis of the subglottic larynx and upper trachea due to high tracheostomies underwent an open treated reconstruction. Stenosis was observed at the level of the cricoid cartilage in one case, and at the cricoid cartilage and upper trachea in the other case. In both cases, a partial defect of the cricoid cartilage was observed on a preoperative CT scan of the larynx.<BR>Both patients were successfully treated using the “trough” method. In the initial stage, we created a trough after resection of the stenotic region through the laryngotracheal fissure. A stent formed from a silicon dental impression was inserted into the trough to maintain the wide patency of the laryngotracheal lumen. The trough was closed with a hinge flap internally and with an advancement rotation flap externally in one of the patients six months after the initial operation. In the other patient, the trough was closed with a sternohyoid myocutaneous flap internally and given an advancement flap externally four months after the initial operation.

収録刊行物

• 日本気管食道科学会会報

  日本気管食道科学会会報 49 (5), 451-457, 1998

  特定非営利活動法人 日本気管食道科学会

キーワード

• subglottic stenosis
• trough method
• necrosis of cricoid cartilage
• high tracheotomy
• 3D-CT

詳細情報

• CRID: 1390001205014271744
• NII論文ID: 130003669879
• NII論文ID: 10005620436
• NII書誌ID: AN00187474
• DOI: 10.2468/jbes.49.451
• ISSN: 18806848
• ISSN: 00290645
• ISSN: http://id.crossref.org/issn/00290645
• Web Site: https://search.jamas.or.jp/link/ui/1999051229
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可