fiber laryngoscope removal of clinical analysis of 33 cases of vocal cord polyp（纤维喉镜切除33例声带息肉的临床分析）.docVIP

Fiber laryngoscope removal of Clinical Analysis of 33 cases of vocal cord polyp Vocal cord polyps, vocal cord polyps are very common, mainly as hoarseness hoarse extent due to polyp size and location vary, only a slight sound of the light to change, in serious cases the hoarse significantly even dysphonia. Polyp is too large plug the throat, can cause difficulty breathing. In recent years, we have adopted the fiber laryngoscope removal of vocal cord polyp 33 cases, satisfactory results are reported below. 1 Materials and Methods 1.1 General information: The Institute selected 33 patients from May 2011 to 2011 in August, I tile City Hospital ENT admitted patients in this group were 16 males and 17 females, aged 18 - 65, average age of 42, the clinical diagnosis of vocal cord polyp 33 cases, including six cases of bilateral preoperative chief complaints were hoarseness, postoperative pathology confirmed vocal cord polyp. 1.2 diagnostic criteria: a different degree of hoarse .2 laryngoscope examination: more than one side of vocal cord polyp was white or pink smooth vegetation, pedunculated or sessile or diffuse vocal cord edges gray sausage-shaped mass. 1.3 surgical procedures: preoperative 4h forbidden to drink fasting, 15min before the intramuscular injection of atropine 0.5mg, individual mental stress in patients given the amount of sedatives (luminal 0.1g IM) using the nasal cavity (or mouth) into the Road, with the first 2 1% ephedrine solution spray nasal, so that the turbinate contraction, spacious nasal cavity of the right vocal cord lesions, such as the approach from the left nasal cavity and vice versa, to facilitate operation in the operation. 1% tetracaine line mucous membranes of the nasal cavity, pharynx, throat spray topical anesthesia 3-5min time, a total of three times, indirect laryngoscopy with 1% tetracaine due to the volume of cotton seeds placed in the glottic and slide into the pyriform sinus lateral wall , anesthesia lar