Endoscopic-assisted support for the completion of difficult laryngoscopy revealed supraglottic vocal cord operation.docVIP

 PAGE \* MERGEFORMAT 6 Endoscopic-assisted support for the completion of difficult laryngoscopy revealed supraglottic vocal cord operation [Keywords:] nasal endoscope To explore the difficulties of self-retaining laryngoscope in patients with vocal cords exposed to surgical method, this study supported by seven cases because of difficult laryngoscopy revealed vocal glottis disease, in self-retaining laryngoscope fixed video surveillance to be used after endoscopic sinus surgery vocal cords of the auxiliary . Are reported below. 1 Data and methods 1.1 General Information Qingtian County People’s Hospital of Otolaryngology from January 1999 to July 2007 between the 7 patients treated were male, aged 26 years old 59 years old, with an average (36.43 ± 11.00) years, of which 6 patients Partial fat and stubby neck, and the other 1 patient was due to temporomandibular joint disease, limitation of mouth opening (about 2 cross fingers). Course of 2 months to 2 years in June, the average (9.86 ± 8.75) months. Indirect laryngoscopic examination glottis can not be exposed, including: glottis near to the Joint Office, polyps in 2 cases, vocal cord before the 1 / 3 sessile polyps in 3 cases, vocal cord polyps in the upper surface of front-end in 1 case, vocal cord before the 1 / 3 spot in 1 case. 1.2 Surgical treatment surgery using endotracheal intubation, intravenous anesthesia. 2 cases of patients during anesthesia or intubation difficulties. Anesthesia is complete, insert the support laryngoscopy see the Body of which five cases of partial fat patients had varying degrees of tongue hypertrophy, stubby tongue, pharynx too small. 1 cases of neck chunky, Upper incisor protrusion, to stir up the epiglottis exposed after the glottis is difficult. The other one cases of restrictions on due to open one’s mouth, it is difficult to expose the glottis. Will be a fixed self-retaining laryngoscope is good, appropriate adjustments supporting frames can be exposed to the back