喉頭
Online ISSN : 2185-4696
Print ISSN : 0915-6127
ISSN-L : 0915-6127
外来内視鏡下レーザー手術を併用した喉頭乳頭腫の治療
山内 宏一田部 哲也小倉 雅實唐帆 健浩北原 哲
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2003 年 15 巻 1 号 p. 35-38

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There are many kinds of therapeutic methods for laryngeal papillomatosis. Surgical treatment is the first choice. Laser surgery in particular has been widely used. As a treatment, laser surgery via laryngo-microscope was conducted between 1982 and 1998 for 9 cases with monofocal papilloma and 15 cases (4 juveniles and 11 adults) with multifocal papilloma. 4 of the 11 adult cases with multifocal papilloma were treated in combination with flexible endoscopic laser surgery (FELS). FELS was performed under local anesthesia on an outpatient clinic basis. The KTP laser was delivered by flexible endoscope and the tumor was vaporized. 5 to 8 watts of laser power was sufficient for the surgery. The procedure was completed in 20 minutes, and no case had postoperative hemorrhage or edema of the larynx. The tumors were well controlled without recurrence.
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