|Monika Orzechowska, Henryk Kaźmierczak, Małgorzata Wierzchowska|
Introduction. Diminishing of the true glottis can cause varying
degrees of impairment of ventilation. There are many different
causes of glottic stenosis, and the effects of surgery treatment
are not always satisfactory.
Aim. The aim of this study was to analyze the causes and effects
of treatment glottic stenosis in patients hospitalized in the
Department of Otolaryngology in Bydgoszcz in 2000-2010.
Material and methods. The analysis included 44 patients
with stenosis of the true glottis caused by factors other than
cancer. Thirty two (73%) patients had bilateral stenosis cause by
paralysis of the true glottis, while in the other 12 (27%) patients
the stenosis was due to scars within the larynx. In all patients, an
attempt to widen the true glottis using a CO2 laser was made.
Results. Forty per cent of patients were operated only once.
Others required several treatments with CO2 laser. Four
patients (9%) had surgery from external approach. Finally,
a satisfactory result was obtained in 86% of the patients.
Conclusions. The advantage of using laser surgery is the short
time of hospital stay, and a small percentage of complications
which, even if they do appear, are not a major clinical
keywords: porażenie fałdów głosowych, zwężenie szpary głośni, laser CO2
pages: from 163 to 167
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