Powered Laryngeal Shaver for Papilloma of the Larynx in Children by Laryngeal Endoscopy
- VernacularTitle:支撑喉内镜下吸引旋切法治疗小儿喉乳头状瘤
- Author:
Xiaohui SHEN
;
Tongmei LI
;
Honggen ZHOU
- Publication Type:Journal Article
- Keywords:
Papilloma of the larynx;
Laryngeal endoscopy;
Powered laryngeal shaver;
Voice quality
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the outcome of powered laryngeal shaver for papilloma of the larynx in children by laryngeal endoscopy. Methods Thirty-nine children with papilloma of the larynx were treated by powered laryngeal shaver under a laryngeal endoscope. Twenty-seven of the patients who had an extensive tumor received radiofrequency to avoid hemorrhage and adhesion of the surgical surface. Results The mean operation time was (11.2?2.6) min, and the blood lose was less than 30 ml. Three months after the operation, 28 of the patients were fond of their voice quality. Among the 39 patients, 37 were followed up for 2-5 years, during which 3-year recurrence rate was 51% (19/37). In the children with primary patients, the rate of recurrence was 30% (3/10), and in those with recurrent tumor, the rate was 59% (16/27). Conclusions By using powered laryngeal shaver under a laryngeal endoscope, papilloma of the larynx can be accurately resected with low blood loss, short operation time and short hospital stay and confirmed effectivenss.