대구 지하철 참사 흡인화상환자에서의 후두협착 치료를 위해 시행한 후두미세경 수술

Laryngomicrosurgery for the Treatment of Glottic Stenosis after Inhalation Injury in a Terrible Subway Accident in Daegu

  • 김지훈 (연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소) ;
  • 김정홍 (연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소) ;
  • 김한수 (연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소) ;
  • 최홍식 (연세대학교 의과대학 이비인후과학교실, 음성언어의학연구소)
  • 발행 : 2003.11.01

초록

Background and Objectives : In order to evaluate the result of the $CO_2$ LASER laryngomicrosurgery for the treatment of glottic stenosis after inhalation injury. Patients and Methods : We retrospectively evaluated 7 patients with inhalation injury on larynx who received their surgical treatment at the Severance hospital on Jun. 2003. The average follow-up duration was 64.9 days and they were 3men and 4women. The average patient age was 30.1 years, We evaluated the preoperative state with neck CT and stroboscopy. The operation was $CO_2$ LASER laryngomicrosurgery and Mitomycin-C application. The postoperative state was evaluated with stroboscopy at POD#6 and POD#2months. Results : 6 patients had the intubation as the first care on accident. All 7 patients showed the glottic web and after operation, the vocal cord seemed to be almost normal. The glottic area was widened as 3 times as the preoperative state at POD#6. Conclusion : We could lessen the symptoms like dyspnea and hoarseness with laryngomicrosurgery and Mitomycin-C application for patients complaining some laryngeal problems because of the inhalation injury.

키워드