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
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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
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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
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surgery
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Pharynx
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surgery
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Sleep
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Sleep Apnea, Obstructive
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surgery
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Uvula
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surgery
4.Therapeutic effects of oral appliance combined with uvulopalatopharyngoplasty on obstructive sleep apnea hypopnea syndrome.
Jianxing HAN ; Bei WANG ; Yunfang AN ; Yuan MA ; Yan LIU ; Yufeng MA
Chinese Journal of Stomatology 2014;49(2):69-72
OBJECTIVETo explore the long-term effects of the uvulopalatopharyngoplasty (UPPP) combined with oral appliance (OA) in the treatment of obstructive sleep apnea hypopnea syndrome (OSAHS).
METHODSThirty patients with severe OSAHS confirmed by polysomnography (PSG) according to their apnea hypopnea index (AHI) and lowest SaO2 during sleep were selected using random permutation table and divided into only UPPP group(U group, n = 15) and UPPP with OA group (UA group, n = 15). The follow-up period was 2 years. PSG was performed in 0.5 year and 2 years after operation. AHI, lowest SaO2 and Tmax were tested and evaluated.
RESULTSThe effectiveness of two groups was the same after 0.5 year. Two years after operation, the values [AHI: (18.06 ± 2.24) times/h; lowest SaO2: (88.64 ± 10.37)% and Tmax: (20.5 ± 17.6) s] in UA group were better than that [AHI: (49.73 ± 3.35) times/h; lowest SaO2: (79.56 ± 4.87)% and Tmax: (41.3 ± 19.7) s] in U group. The number of effectiveness was 9 and the number of ineffectiveness was 6 in U group, while in UA group, the number of effectiveness was 14 and the number of ineffectiveness was 1(P < 0.05).
CONCLUSIONSLong-term result of combined treatment was better than that of UPPP only.
Humans ; Orthodontic Appliances ; Palate ; surgery ; Pharynx ; surgery ; Polysomnography ; Sleep ; Sleep Apnea, Obstructive ; surgery ; Uvula ; surgery
5.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
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surgery
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Pharynx
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surgery
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Sleep Apnea, Obstructive
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surgery
6.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
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surgery
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Esophagus
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surgery
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Humans
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Pharyngeal Diseases
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Pharynx
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surgery
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Stents
10.Relationship between the oral language development and restoration of velopharyngeal closure function in Chinese toddlers with repaired cleft palate.
Jing QIAN ; Xiu-ping TANG ; Xiao-jing LI ; Lian MA
Chinese Journal of Stomatology 2010;45(10):584-586
OBJECTIVETo evaluate how the oral language development enhances articulators to function well in cleft palate movement and velopharyngeal closure in the young Chinese children with repaired cleft palate.
METHODSThe recordings of 78 cases of Chinese toddlers with repaired cleft palate were reviewed. This group of children aged from 27 months to 33 months (average: 30 months). Transcription using Pinyin system was made. Mean utterance count (MUC) and mean special consonant correct count (MSCC) were calculated. Correlation between MUC and MSCC was statistically analyzed.
RESULTSThe correlation coefficient of MUC and MSCC is 0.360 (P < 0.01).
CONCLUSIONSThere is positive correlation between the oral language development and restoration of velopharyngeal closure function. Children with repaired cleft palate should be encouraged to start oral language as early as possible and as much as possible in order to get the restoration of velopharyngeal closure function.
Child, Preschool ; Cleft Palate ; physiopathology ; surgery ; Humans ; Language Development ; Pharynx ; Velopharyngeal Insufficiency ; physiopathology ; surgery