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J Korean Soc Laryngol Phoniatr Logop > Volume 21(2); 2010 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2010;21(2): 105-111.
후뒤세수술에서 미세피판술의 원칙
권택균, 손희영
서울대학교 의과대학 이비인후과학교실
Principles of Microflap Surgery in Laryngomicrosurgery
Tack-Kyun Kwon, Hee-Young Son
Department of Otorhinolaryngology, Seoul National University College of Medicine
ABSTRACT
The vibratory or phonating surface of the human vocal folds is a complex layered structure. Benign vocal fold lesions arise primarily within the lamina propria of the vocal folds and produce dysphonia by disrupting the normal layered architecture of the phonating surface. Therefore, treatment is aimed at excision of the lesion with restoration of the normal layered architecture. The core principle of the Microflap approach is that conservative removal of submucosal pathology with preservation of overlying normal epithelium and superficial lamina propria. Microflap approach is an essential component of most phnomicrosurgical procedures and is a challenging surgical task that requires patience, appropriate instrumentation, surgical skill, and experience. The authors reviewed surgical principles of Microflap technique, instrumentation and surgical tips that could be useful for the beginners who tried to try Microflap technique for the treatment of benign vocal fold mucosal lesions.
KEY WORDS: Microflap surgery;Laryngomicrosurgery;
중심 단어: 후두미세수술;미세피판술;
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