当科で施行した喉頭顕微鏡下手術2,115件の検討

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  • Endolaryngeal Microsurgery in 2,115 Cases of Vocal Fold Lesion

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Endolaryngeal microsurgery was performed on 1,858 patients at our clinic during the past 17 years. The totoal number of operations, including multiple procedures on individual patients, was 2,115. General anesthesia was used in all cases.<BR>Vocal fold polyps, nodules, and polypoid growths accounted for 1,544 cases out of the total 2,115, or approximately 72.9%. The remaining cases included vocal fold leukoplakia, laryngeal cancer, cystoma and papilloma. These rates of occurrence are in line with those reported in previous studies.<BR>This report will devote particular attention to those cases which required additional operations. Such operations were necessary in 108 patients, approximately 5.8% of the total; the number of extra operations performed was 149, approximately 7.0% of the total. The discrepancy between the percentage rate for patients and that for operations results from the performance of two or more additional operations in certain cases. The disorders most often requiring multiple operations were vocal fold leukoplakia, with 39 procedures performed, laryngeal cacer, with 38 procedures performed and polypoid vocal fold, with 32 procedures performed.

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