Endoscopic resection of laryngeal and tracheal lesions using the microdebrider
Conclusion. Endoscopic resection of laryngeal and tracheal lesions using the microdebrider is a safe, accurate and reliable method. Objective. The microdebrider is an important tool for endoscopic nasal and sinus surgery and over the last few years a powered blade with a long shaft has been develope...
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| Veröffentlicht in: | Acta oto-laryngologica 2006-04, Vol.126 (4), p.402-407 |
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| creator | Nuyens, Michel Zbären, Peter Seifert, Eberhard |
| description | Conclusion. Endoscopic resection of laryngeal and tracheal lesions using the microdebrider is a safe, accurate and reliable method.
Objective. The microdebrider is an important tool for endoscopic nasal and sinus surgery and over the last few years a powered blade with a long shaft has been developed for endoscopic laryngeal and tracheal surgery. The aim of this non-randomized prospective study was to determine the advantages and disadvantages of the microdebrider for treating patients with different laryngeal and tracheal pathologies.
Material and methods. The laryngeal microdebrider was used under endoscopic control in 37 patients. In 29 cases a benign laryngeal lesion was removed endoscopically. In four patients debulking of a malignant obstructive endolaryngeal tumor was performed in order to avoid a tracheotomy. In four cases a bulky obstructing endotracheal lesion was removed.
Results. All laryngotracheal lesions could be removed, and this was facilitated by the use of angled rigid telescopes and the laryngeal blade. No traumatic lesions to normal laryngeal tissue occurred as a result of use of the microdebrider and no postoperative endolaryngeal bleeding was observed. The histological diagnosis of the biopsies taken with the microdebrider was accurate in every case. In three of the four cases with obstructive laryngeal malignancies, a tracheotomy was avoided until definitive therapy was undertaken. Normal breathing was restored in all patients with endotracheal lesions. |
| doi_str_mv | 10.1080/00016480500390246 |
| format | Article |
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Objective. The microdebrider is an important tool for endoscopic nasal and sinus surgery and over the last few years a powered blade with a long shaft has been developed for endoscopic laryngeal and tracheal surgery. The aim of this non-randomized prospective study was to determine the advantages and disadvantages of the microdebrider for treating patients with different laryngeal and tracheal pathologies.
Material and methods. The laryngeal microdebrider was used under endoscopic control in 37 patients. In 29 cases a benign laryngeal lesion was removed endoscopically. In four patients debulking of a malignant obstructive endolaryngeal tumor was performed in order to avoid a tracheotomy. In four cases a bulky obstructing endotracheal lesion was removed.
Results. All laryngotracheal lesions could be removed, and this was facilitated by the use of angled rigid telescopes and the laryngeal blade. No traumatic lesions to normal laryngeal tissue occurred as a result of use of the microdebrider and no postoperative endolaryngeal bleeding was observed. The histological diagnosis of the biopsies taken with the microdebrider was accurate in every case. In three of the four cases with obstructive laryngeal malignancies, a tracheotomy was avoided until definitive therapy was undertaken. Normal breathing was restored in all patients with endotracheal lesions.</description><identifier>ISSN: 0001-6489</identifier><identifier>EISSN: 1651-2251</identifier><identifier>DOI: 10.1080/00016480500390246</identifier><identifier>PMID: 16608793</identifier><identifier>CODEN: AOLAAJ</identifier><language>eng</language><publisher>Stockholm: Informa UK Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Debridement - instrumentation ; Dyspnea ; Dyspnea - etiology ; Endoscopy - methods ; Female ; Humans ; Laryngeal Diseases - surgery ; Laryngoscopy - methods ; larynx ; Male ; Medical sciences ; Middle Aged ; Otorhinolaryngology. Stomatology ; Pneumology ; powered surgical instruments ; Prospective Studies ; Respiratory system : syndromes and miscellaneous diseases ; shaver ; Tracheal Diseases - surgery ; tracheal tumor ; Treatment Outcome</subject><ispartof>Acta oto-laryngologica, 2006-04, Vol.126 (4), p.402-407</ispartof><rights>2006 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2006</rights><rights>2006 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-b2276e7fb30fdf0ddfe4b41ed6cc67fe7514e16c80c20c3844183906902dfa843</citedby><cites>FETCH-LOGICAL-c434t-b2276e7fb30fdf0ddfe4b41ed6cc67fe7514e16c80c20c3844183906902dfa843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/00016480500390246$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/00016480500390246$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,59646,59752,60435,60541,61220,61255,61401,61436</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17675848$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16608793$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nuyens, Michel</creatorcontrib><creatorcontrib>Zbären, Peter</creatorcontrib><creatorcontrib>Seifert, Eberhard</creatorcontrib><title>Endoscopic resection of laryngeal and tracheal lesions using the microdebrider</title><title>Acta oto-laryngologica</title><addtitle>Acta Otolaryngol</addtitle><description>Conclusion. Endoscopic resection of laryngeal and tracheal lesions using the microdebrider is a safe, accurate and reliable method.
Objective. The microdebrider is an important tool for endoscopic nasal and sinus surgery and over the last few years a powered blade with a long shaft has been developed for endoscopic laryngeal and tracheal surgery. The aim of this non-randomized prospective study was to determine the advantages and disadvantages of the microdebrider for treating patients with different laryngeal and tracheal pathologies.
Material and methods. The laryngeal microdebrider was used under endoscopic control in 37 patients. In 29 cases a benign laryngeal lesion was removed endoscopically. In four patients debulking of a malignant obstructive endolaryngeal tumor was performed in order to avoid a tracheotomy. In four cases a bulky obstructing endotracheal lesion was removed.
Results. All laryngotracheal lesions could be removed, and this was facilitated by the use of angled rigid telescopes and the laryngeal blade. No traumatic lesions to normal laryngeal tissue occurred as a result of use of the microdebrider and no postoperative endolaryngeal bleeding was observed. The histological diagnosis of the biopsies taken with the microdebrider was accurate in every case. In three of the four cases with obstructive laryngeal malignancies, a tracheotomy was avoided until definitive therapy was undertaken. Normal breathing was restored in all patients with endotracheal lesions.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Debridement - instrumentation</subject><subject>Dyspnea</subject><subject>Dyspnea - etiology</subject><subject>Endoscopy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Laryngeal Diseases - surgery</subject><subject>Laryngoscopy - methods</subject><subject>larynx</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pneumology</subject><subject>powered surgical instruments</subject><subject>Prospective Studies</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>shaver</subject><subject>Tracheal Diseases - surgery</subject><subject>tracheal tumor</subject><subject>Treatment Outcome</subject><issn>0001-6489</issn><issn>1651-2251</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1LxDAQhoMoun78AC_Si96qSZsmWfQi4heIXvRc0mTiRtJkTVrEf2_KrogInoZhnneY9x2EDgk-JVjgM4wxYVTgBuN6jivKNtCMsIaUVdWQTTSb5mUG5jtoN6W3qZ2LZhvtEMaw4PN6hh6vvQ5JhaVVRYQEarDBF8EUTsZP_wrSFdLrYohSLabGQcpAKsZk_WsxLKDorYpBQxethriPtox0CQ7WdQ-93Fw_X92VD0-391eXD6WiNR3Krqo4A266GhttsNYGaEcJaKYU4wZ4QygQpgRWFVa1oJSI7JBlk9pIQes9dLLau4zhfYQ0tL1NCpyTHsKYWsZFQyvBM0hWYD4ypQimXUbbZ28twe0UYvsnxKw5Wi8fux70j2KdWgaO14BMSjoTpVc2_XCc8UZQkbmLFWe9CbGXHyE63Q7y04X4Lar_u-P8l3x6wLBQMkL7Fsboc8D_uPgCo9ue7Q</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>Nuyens, Michel</creator><creator>Zbären, Peter</creator><creator>Seifert, Eberhard</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Taylor and Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20060401</creationdate><title>Endoscopic resection of laryngeal and tracheal lesions using the microdebrider</title><author>Nuyens, Michel ; Zbären, Peter ; Seifert, Eberhard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-b2276e7fb30fdf0ddfe4b41ed6cc67fe7514e16c80c20c3844183906902dfa843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Debridement - instrumentation</topic><topic>Dyspnea</topic><topic>Dyspnea - etiology</topic><topic>Endoscopy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Laryngeal Diseases - surgery</topic><topic>Laryngoscopy - methods</topic><topic>larynx</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pneumology</topic><topic>powered surgical instruments</topic><topic>Prospective Studies</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>shaver</topic><topic>Tracheal Diseases - surgery</topic><topic>tracheal tumor</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nuyens, Michel</creatorcontrib><creatorcontrib>Zbären, Peter</creatorcontrib><creatorcontrib>Seifert, Eberhard</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Acta oto-laryngologica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nuyens, Michel</au><au>Zbären, Peter</au><au>Seifert, Eberhard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endoscopic resection of laryngeal and tracheal lesions using the microdebrider</atitle><jtitle>Acta oto-laryngologica</jtitle><addtitle>Acta Otolaryngol</addtitle><date>2006-04-01</date><risdate>2006</risdate><volume>126</volume><issue>4</issue><spage>402</spage><epage>407</epage><pages>402-407</pages><issn>0001-6489</issn><eissn>1651-2251</eissn><coden>AOLAAJ</coden><abstract>Conclusion. Endoscopic resection of laryngeal and tracheal lesions using the microdebrider is a safe, accurate and reliable method.
Objective. The microdebrider is an important tool for endoscopic nasal and sinus surgery and over the last few years a powered blade with a long shaft has been developed for endoscopic laryngeal and tracheal surgery. The aim of this non-randomized prospective study was to determine the advantages and disadvantages of the microdebrider for treating patients with different laryngeal and tracheal pathologies.
Material and methods. The laryngeal microdebrider was used under endoscopic control in 37 patients. In 29 cases a benign laryngeal lesion was removed endoscopically. In four patients debulking of a malignant obstructive endolaryngeal tumor was performed in order to avoid a tracheotomy. In four cases a bulky obstructing endotracheal lesion was removed.
Results. All laryngotracheal lesions could be removed, and this was facilitated by the use of angled rigid telescopes and the laryngeal blade. No traumatic lesions to normal laryngeal tissue occurred as a result of use of the microdebrider and no postoperative endolaryngeal bleeding was observed. The histological diagnosis of the biopsies taken with the microdebrider was accurate in every case. In three of the four cases with obstructive laryngeal malignancies, a tracheotomy was avoided until definitive therapy was undertaken. Normal breathing was restored in all patients with endotracheal lesions.</abstract><cop>Stockholm</cop><pub>Informa UK Ltd</pub><pmid>16608793</pmid><doi>10.1080/00016480500390246</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Debridement - instrumentation Dyspnea Dyspnea - etiology Endoscopy - methods Female Humans Laryngeal Diseases - surgery Laryngoscopy - methods larynx Male Medical sciences Middle Aged Otorhinolaryngology. Stomatology Pneumology powered surgical instruments Prospective Studies Respiratory system : syndromes and miscellaneous diseases shaver Tracheal Diseases - surgery tracheal tumor Treatment Outcome |
| title | Endoscopic resection of laryngeal and tracheal lesions using the microdebrider |
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