A Modified Approach for Preventing Anterior Glottic Web Formation Using Mitomycin C in Bilateral Vocal Fold Lesions

被引：0

作者：

Kang, Yung Jee ^{[1
]}

Park, Sung Yool ^{[1
]}

Kim, Gangmi ^{[1
]}

Suh, Ye-Jin ^{[1
]}

Yun, Jason ^{[1
]}

Choi, Nayeon ^{[1
]}

Son, Young-Ik ^{[1
]}

机构：

[1] Sungkyunkwan Univ, Sch Med, Dept Otorhinolaryngol Head & Neck Surg, Samsung Med Ctr, 81 Irwon Ro, Seoul 06351, South Korea

来源：

ENT-EAR NOSE & THROAT JOURNAL | 2024年

关键词：

larynx; lasers; vocal cords; voice; mitomycin; ENDOSCOPIC KEEL PLACEMENT; LASER CORDECTOMY; COMMISSURE; MANAGEMENT; STENOSIS; LYSIS;

D O I：

10.1177/01455613241255790

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objectives: Laryngeal keel insertion, mucosal suture, application of mitomycin-C (MMC), and staged operations are approaches to prevent the anterior glottic web, but there are limitations. Our study suggests a modified approach to prevent the formation of an anterior glottic web. Methods: This retrospective single-institution tertiary center study (N = 23) involved the simultaneous removal of bilateral vocal fold lesions with topical MMC application. If exudate was identified after 4 to 6 weeks, second laryngomicroscopic surgery (LMS) was performed to remove it with topical MMC application. Extent of anterior glottic web was measured as a percentage of the total length of the membranous vocal fold. Results: After the initial surgery, 18 patients recovered without anterior web or fibrin exudate. Thick exudate was observed in 5 patients. After the second LMS, all patients showed improvement and did not develop anterior web. Conclusion: This modified method has been developed to prevent the anterior glottic web without complications.

引用

页数：7

共 44 条

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