70 ° Endoscopic microwave treatment of 32 cases of epiglottic cyst.docVIP

 PAGE \* MERGEFORMAT 6 70 ° Endoscopic microwave treatment of 32 cases of epiglottic cyst Author: Liu Jianmin, Zhang Yun Gao, Zhi-gang, Europe, Jiang Y, Huang Tao [Keywords:] nasal endoscope; microwave; epiglottic cyst October 2002 -2,007-year in February I Division at 70 ° nasal endoscopic microwave therapy epiglottic cyst 32 cases, by clinical observation, satisfactory results are reported as follows. A clinical data 1.1 General information on 32 cases of epiglottic cyst patients, male 21, female 11 cases; aged 18 to 65 years old, with an average age of 36 years. The first incidence of 26 cases of recurrence in 6 cases. Cyst 28 patients with single and multiple in 4 cases. There is a history of pharyngeal foreign body sensation or a sense of obstruction, 24 cases of asymptomatic even OK laryngoscopy was found in 8 cases. Specialist examination: 15 cases of lingual cyst is located in the epiglottis, the epiglottis in the Valley in 13 cases, in the aryepiglottic folds in 4 cases. Cysts spherical or hemispherical, sessile or pedunculated, smooth, greyish-yellow or gray, a few small blood vessels visible on the surface distribution. Capsule light yellow mucus, cystic volume of about 0.2 cm * 0.3 cm * 0.3 cm ~ 1.2 cm * 1.2 cm * 1.0 cm. 1.2 treatment of all patients were carried out under topical anesthesia. Routine preoperative fasting 4 h, with 1% tetracaine spray throat 2 or 3 times, and then pulling the tongue body to the base of the tongue, epiglottis lingual spray 2 or 3 times. Use of medical equipment Co., Ltd., Tianjin Central Asia developed ZW-1001F-type microwave apparatus, the working frequency of 2450MHZ, the output power of 25 ~ 30W, the role of time of 3 ~ 5 s. Patient was sitting, yarn Buguo body tongue, right hand forward on their own under the distraction; surgeon left hand holds 70 ° rigid endoscopic tube, along the lingual midline slowly entering the throat cavity, adjust the field of vision, so that epiglottic cyst fully exposed; his rig