耳鼻咽喉科臨床
Online ISSN : 1884-4545
Print ISSN : 0032-6313
ISSN-L : 0032-6313
喉頭蓋の倒れ込みにより呼吸障害を生じた2症例
田中 明子土師 知行新正 由起子前田 秀明竹林 慎治八木 伸也
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2000 年 93 巻 11 号 p. 939-943

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We report 2 adult cases of inspiratory dyspnea caused by an epiglottal prolapse.
The first case was a 61-year-old man who was suffering from inspiratory dyspnea, especially while sleeping. A laryngofiberscopic examination revealed that the epiglottis was contacting the posterior pharyngeal wall during inspiration, causing airway obstruction. A partial epiglottectomy with a Holmium: YAG laser improved respiratory dystress during sleep.
The second case was a 60-year-old man who also suffered from dyspnea while sleeping. The laryngofiberscopic findings were the same as in the first case, and a partial epiglottectomy was also effectve for the dyspnea during sleep. A pathological examination revealed degeneration of the epiglottic cartilage
The Holmiun: YAG laser was useful in resecting the epiglottic cartilage in both cases.
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