Endolaryngeal microsurgeryによる喉頭横隔膜症の治療法

抄録

It is well noted that treatment of laryngeal webs is fundamentally simple. Followings are the steps that have been widely employed.
1. Resection of webs.
2. Set of a plastic plate between the vocal cords to avoid recurrence of webs.
3. Removal of the said plastic plate after complete reepithelization of the vocal cords.
These surgical steps are usvally carried out through the laryngofissure or under direct laryngoscopy. However, results of these procedures are not always notable clinically or phonetically as very fine surgical manipulations are always required in these steps mentioned above.
It is, therefore, very reasonable that an attempt was made to perform these procedures under endolaryngeal microscopy. Actually, in our clinic, 15 cases of the laryngeal webs were successfully treated using the technique of endolaryngeal microsurgery from January, 1966 to December, 1972.
The results of analysis of phonetic examinations and long term follow-ups apparently indicate that this method employed by us is clearly valuabe for the treatment of laryngeal webs.
In the present paper, the outline of the method was demonstrated, and the results obtained were clinically discussed.