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J Korean Soc Laryngol Phoniatr Logop > Volume 19(1); 2008 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2008;19(1): 54-57.
전신 마취하 후두 노출이 되지 않았던 후두 유두종 환자에 대하여 시도한 후두 마스크 전신 마취하 Pulsed Dye Laser 수술 치험 1예
정현필1, 박준희2, 김원식2, 최홍식2
1국민건강보험공단 일산병원 이비인후과
2연세대학교 의과대학 이비인후과학교실, 음성언어의학 연구소
Surgical Experience of Pulsed Dye Laser Using Laryngeal Mask Airway Under General Anesthesia in Glottal Papillomatosis Patient who Had Previously Failed to Undergo Surgery Under General Anesthesia Due to Impossible Laryngeal Exposure
Hyun-Pil Chung1, Jun-Hee Park2, Won-Sik Kim2, Hong-Shik Choi2
1Department of Otorhinolaryngology National Health Insurance Corporation Ilsan Hospital
2Department of Otorhinolaryngology, Institute of Logopedics & Phoniatrics, Yonsei University College of Medicine
ABSTRACT
Non-visualization of larynx is one of the reasons for failure of vocal fold surgery. Many otorhinolaryngologists may have a trouble in choice of alternative treatment if they experience this situation. The laryngeal mask airway could be alternative approach for this situation. We report a glottal papillomatous patient who was treated by pulsed dye laser via laryngeal mask airway after failure of vocal fold surgery via endotracheal intubation. The patient was a 73-year-old man. Laryngoscopy revealed a severe diffuse papillomatous lesion on right true vocal cord, anterior commissure, and partial left true vocal cord. The patient was refered for difficult laryngeal exposure during laryngomicrosurgey under general endotracheal anesthesia.
KEY WORDS: Glottal papillomatosis;Pulsed dye laser;Laryngeal mask airway;
중심 단어: 후두 유두종;후두 마스크;
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