Fibrolaryngoscope removal of vocal nodules and vocal polyps Experience.docVIP

 PAGE \* MERGEFORMAT 3 Fibrolaryngoscope removal of vocal nodules and vocal polyps Experience Vocal cord polyps, vocal nodules are a common ENT mainly in the past under the operation of indirect laryngoscopy. But for those short and thick neck, short tongue tie, tongue fat of the original operation in patients more difficult. And have normal vocal cord injury possible. suspension laryngoscopy under general anesthesia, the high cost of patients requiring hospitalization, increased risk of general anesthesia. I Division in February 2009 to June down at the TV fibrolaryngoscope polyps, excision of vocal nodules, 30 cases achieved satisfactory results, are as follows. 1 Materials and Methods 1.1 Clinical data 30 patients, 13 males and 17 females, aged 14-65 years old. Symptoms are hoarseness, vocal nodules in 11 cases checked, vocal cord polyps in 19 cases. The instrument is olympusENF-T3 fiber nasopharyngeal laryngoscope. 1.2 and methods of treatment Surgical operation in the sitting position under local anesthesia, anesthesia is directly related to the merits of surgical success or failure. Preoperative give the atropine 0.5mg, 10mg intramuscular injection stability. 1% tetracaine with epinephrine and contraction of anesthesia than cotton sheet case of large nasal spray .1% tetracaine pharyngeal anesthesia of the oropharynx and Chief 2-3. let the patients themselves pull the tongue, under indirect laryngoscopy the epiglottis with the elbow pulled the syringe, a 1% tetracaine about 3 times because of 3ml drops at the glottis. were sitting, to gently insert the laryngoscope from the nasal cavity, the nasopharynx, oropharynx into the hypopharynx, to see the epiglottis epiglottis by the laryngoscope into the next. to see the vocal cords Summary polyp location. suction attachment points will net material. by an assistant into the biopsy forceps, pliers head stretch out the laryngoscope, the adjustment of biopsy forceps in the lesions of patients