Analysis of related factors in vocal cord adhesion after CO2 laser laryngeal surgery and prevention

VernacularTitle:CO2激光在喉部手术后并发声带粘连的相关因素分析及预防
Author: Feilin DONG ; Lizhong SU ; Yi ZHENG
Keywords: Lasers; Microsurgery; Postoperative Complications; vocal cord adhesion
From: Chinese Archives of Otolaryngology-Head and Neck Surgery 2017;24(6):283-286
CountryChina
Language:Chinese
Abstract: OBJECTIVE To investigate the related factors of vocal cord adhesion after CO2 laser assisted laryngeal surgery.METHODS Clinical data of 219 patients who received CO2 laser assisted laryngeal surgery in our department from October 2012 to December 2016 were analyzed retrospectively.Correlation analysis of the vocal cord adhesion with patient's gender, age, lesion nature, lesion location,type of operation,laser power, and postoperative granulation hyperplasia were carried out. RESULTS Of the 219 cases, vocal cord adhesion occurred in 31 cases, accounted for 14.16%. The vocal cord adhesion were associated with the lesion nature, lesion location, the laser power, postoperative granulation hyperplasia (P<0.05). CONCLUSION According to the related factors, the appropriate surgical procedure and cutting power, perioperative measures can help to reduce the occurrence of postoperative vocal cord adhesion.