激光在喉狭窄治疗中的应用：附13例报告

采用支撑喉镜、喉造口以激光治疗喉狭窄１３例，均观察１年４个月以上。包括先天性喉蹼，声带粘连，双侧喉返神经麻痹，多发性复发性喉乳头状瘤多次手术无效，喉外伤后甲状软骨及其内结构严重破坏，继发感染伴喉腔大是一肉芽生产及瘢痕形成者。

The Application of Laser Therapy in the Treatment of Laryngeal stenosis -13 Cases Report

Thirteen patients with laryngeal stenosis were treated by laser through self-retaining laryngoscope or laryngostomy approach. All of them were followed up at least 16 months and the results were satisfactory. The laryngeal lesions include congenital laryngeal webs , adhension of vocal cord. bilateral recurrent laryngeal nerve paralysis , multiple recurrrent papilloma of larynx, extensive granulation and scar formation after laryngeal injuries and secondary infections. The hoarseness of all 13 cases was improved in different extent, and the respiratory function of 12 cases returned to normal, the other one was cured by other therapy. The results indicate that laser therapy has more advantages to other surgical managments, and laryngostomy provide us a good approach for the treatment of multiple recurrent papilloma of larynx and extensive grannulation after serious injuries of larynx. But the duration of postoperative observation must be lasted for 2-3 months before the laryngeal cavity is closed.