Laryngomicrosurgery for the Treatment of Glottic Stenosis after Inhalation Injury in a Terrible Subway Accident in Daegu

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J Korean Soc Laryngol Phoniatr Logop > Volume 14(2); 2003 > Article

Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2003;14(2): 123-128.

대구 지하철 참사 흡인화상환자에서의 후두협착 치료를 위해 시행한 후두미세경 수술

연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소

Laryngomicrosurgery for the Treatment of Glottic Stenosis after Inhalation Injury in a Terrible Subway Accident in Daegu

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ABSTRACT

Background and Objectives
: In order to evaluate the result of the $CO_2$ LASER laryngomicrosurgery for the treatment of glottic stenosis after inhalation injury. Patients and Methods : We retrospectively evaluated 7 patients with inhalation injury on larynx who received their surgical treatment at the Severance hospital on Jun. 2003. The average follow-up duration was 64.9 days and they were 3men and 4women. The average patient age was 30.1 years, We evaluated the preoperative state with neck CT and stroboscopy. The operation was $CO_2$ LASER laryngomicrosurgery and Mitomycin-C application. The postoperative state was evaluated with stroboscopy at POD#6 and POD#2months.
Results
: 6 patients had the intubation as the first care on accident. All 7 patients showed the glottic web and after operation, the vocal cord seemed to be almost normal. The glottic area was widened as 3 times as the preoperative state at POD#6.
Conclusion
: We could lessen the symptoms like dyspnea and hoarseness with laryngomicrosurgery and Mitomycin-C application for patients complaining some laryngeal problems because of the inhalation injury.

KEY WORDS： Laryngomicrosurgery;Glottic stenosis;Inhalation injury;

중심 단어： 흡인화상;후두협착;