1.The clinical application of Coblation in operations of the pharynx and larynx.
Yanan SUN ; Huijun LI ; Jiangtao LIU
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(24):2001-2004
The aticle briefly introduced the working principle and clinical applicability of Coblation. The application of Coblation promoted the improvement of traditional surgery and the generation of new operation, it is the most important to hold the indication of the operation strictly. This review summarized that and discussed the advantages and the notes of Coblation in operations of the pharynx and larynx.
Humans
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Larynx
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surgery
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Laser Therapy
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Pharynx
;
surgery
2.The diagnosis and treatment of one huge cystic lymphangioma in etropharyngeal space.
Hua ZHANG ; Xicheng SONG ; Chuanliang JIA
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2016;30(2):159-160
One child was hospitalized because of repeated cough and sputum. The biopsy diagnosis in local hospital was cystic lymphangioma in retropharyngeal space. We carried out transoral incision and drainage by catheter under general anesthesia. Put into the surgical cavity a suction drainage tube, and injected 5 mg dexamethasone and 8mg Bleomycin. He had nasogastric liquid diet after operation. We removed the suction drainage tube two weeks later. No recurrence was found following up over two years.
Child
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Humans
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Lymphangioma, Cystic
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diagnosis
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surgery
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Pharynx
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pathology
;
surgery
3.Uvulopalatopharyngoplasty and hyoid suspension for obstructive sleep apnea hyponea syndrome.
Yungang WU ; Hui ZHANG ; Taizhang PANG ; Panpan SONG ; Xiaoyu LI
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2014;28(24):1972-1974
OBJECTIVE:
The aim of this study was to investigate the clinical efficacy of uvulopalatopharyngoplasty (UPPP) with hyoid suspension for patients with obstructive sleep apnea hypopnea syndrome (OSAHS).
METHOD:
Thirty-eight OSAHS patients underwent UPPP with hyoid suspension. Review the sleep monitoring after 6 months and 1 year and compare the AHI, LSaO 2 and ESS score.
RESULT:
The average AHI decreased, and blood oxygen saturation increased significantly afer operation.
CONCLUSION
UPPP with hyoid suspension is an available and relatively safe surgical approach in OSAHS patients.
Humans
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Palate
;
surgery
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Pharynx
;
surgery
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Sleep
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Sleep Apnea, Obstructive
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surgery
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Uvula
;
surgery
7.Redefine the efficacy of surgical treatments for obstructive sleep apnea hypopnea syndrome.
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(6):492-494
Various surgical procedures are widely used for treating obstructive sleep apnea hypopnea syndrome (OSAHS) currently. The most prominent advantage of surgery is the excellent long-term adherence, which is just the main limitation for the first-line treatment of continuous positive airway pressure (CPAP). However, nearly all the surgical procedures used now usually could not cure this disease completely. The success rate of the uvulopalatopharyngoplasty, which is the most widely used procedure, can only reach to 40% - 50% in terms of AHI Therefore, there are some opinions that the surgery should not be applied for treating this disease. In fact, the outcomes of surgical treatments should not be only evaluated basing on some of the objective results. In this article, the clinical significance of surgery based on objective and subjective data, and the effects on long-term consequences, the combination of surgery with CPAP, and the possible prospects of surgical treatments for this disease will be discussed. This may help us to redefine the clinical efficacy of surgery for the treatment of OSAHS.
Continuous Positive Airway Pressure
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Humans
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Palate
;
surgery
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Pharynx
;
surgery
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Sleep Apnea, Obstructive
;
surgery
8.Stent implantation in the treatment of pharynx anastomotic stenosis after cervical esophageal resection: a case report.
Chuanshan ZANG ; Jian SUN ; Yan SUN
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2016;30(5):417-417
We report the treatment of one patient with pharynx anastomotic stenosis after cervical esophagealresection by stent implantation. The patient suffered from serious pharynx anastomotic stenosis after gastric-pha-ryngeal anastomosis. After balloon-dilatation,a domestic self-expanding Z-stents was implanted in the stricture ofthe esophagus under the X-rays. After stent implantation, the patient has been leading a normal life for threeyears. Balloon dilatation and stent implantation is an effective and safe method in the treatment of patients withpharynx anastomotic stenosis.
Anastomosis, Surgical
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Catheterization
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Constriction, Pathologic
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Esophageal Stenosis
;
surgery
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Esophagus
;
surgery
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Humans
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Pharyngeal Diseases
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Pharynx
;
surgery
;
Stents
9.Surgical treatment experience of different approaches in eight cases with parapharyngeal space foreign bodies.
Jing GAO ; Binghuang ZHANG ; Dongshu ZHENG ; Xianyang LUO
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(21):1903-1905
OBJECTIVE:
To analyze the surgical treatment of parapharyngeal space foreign body and to discuss feasibility of Endoscopic transoral approach.
METHOD:
Reviewing surgical treatment in eight cases of parapharyngeal space foreign body, nature and location of foreign body. surgical methods, and treatment results were analyzed.
RESULT:
Eight patients' foreign bodies were all removed by surgical treatment, there were no postoperative infection. Three cases of foreign body were removed through laterocervical approaches, one removed through submandibular approach. In four cases the foreign body were removed through Endoscopy, two of them were transoral approach and the other two were taken out after antiotomy.
CONCLUSION
Different approaches should be taken in the surgery treatment of parapharyngeal space foreign body according to imaging positioning.
Endoscopy
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Foreign Bodies
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surgery
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Humans
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Pharynx
;
pathology
;
surgery
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Postoperative Complications
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Treatment Outcome
10.Clinical application of Visual throat forceps in the removal of hypopharyngeal foreign body.
Zhonghua MENG ; Qirui ZOU ; Zhongcheng XING ; Shangqing ZHOU ; Zhen ZHANG ; Ye WANG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2024;38(1):80-82
Objective:To explore the feasibility of using self-made visual throat forceps to remove hypopharyngeal foreign bodies. Methods:The throat forceps were combined with the endoscope and connected to a monitor via a data cable resulting in a visual throat forceps apparatus. This device was utilized to examine and treat the hypopharyngeal foreign bodies. Results:Among 53 patients, foreign bodies were detected in 51,with 48 cases involving hypopharyngeal foreign bodies. All were successfully extracted using the visual throat forceps. Three cases, diagnosed as esophageal foreign bodies by electronic gastroscopy, were treated using the same method. Conclusion:Visual throat forceps can be used to examine the hypopharynx and remove foreign bodies. It has the advantages of simple operation, rapid operation, and high success rate of foreign body removal from the hypopharynx. It is worthy of clinical application.
Humans
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Hypopharynx/surgery*
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Pharynx/surgery*
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Endoscopes
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Surgical Instruments
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Foreign Bodies/diagnosis*