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استخدام الكوبلشين في تنحيف أورام الحنجرة الغالقة للتنفس
Faculty
Medicine
Year:
2024
Type of Publication:
ZU Hosted
Pages:
Authors:
Ashraf Mohamed Alhussiny Suliman
Staff Zu Site
Abstract In Staff Site
Journal:
Egyptian Journal of Ear, Nose, Throat and Allied Sciences Egyptian Society of Ear Nose Throat and Allied Sciences
Volume:
Keywords :
استخدام الكوبلشين , تنحيف أورام الحنجرة الغالقة
Abstract:
Background: Managment of airway in cases of obstructing laryngeal tumors (OLT) is considered a challenging surgical problem. Tracheostomy can secure a patent airway; however, it was reported as a negative prognostic factor. Endolaryngeal debulking (ED) of these tumors, without doing tracheotomy, aims at ensuring a patent airway till starting the appropriate definitive treatment (DT). Coblation can induce localized molecular disintegration of the tissues with a low, temperature. Therefore, it can be used safely in airway surgery with low risks of postoperative edema or scarring. Aim af work: To study the safety of using temperature-controlled radiofrequency ablation (coblation) in ED of OLT without doing tracheostomy. method: This is an uncontrolled interventional prospective ease series study that included 16 cases having OLT. All of them were prepared for: coblation -assisted ED and biopsy. They were followed up till initiation of the DT. Results: From February 2023 till October 2O23,16 patients with OLT were first presented to our unit. 13 patients were intubated successfully and coblation-assisted ED without primary tracheostomy was done for them. Extubation was performed successfully, without the need for re-intubation or tracheotomy, in 12 cases with coblation debulking success rate of 92.3%. Conclusion : using coblation in endolarynrgeal debulking of obstructing laryngeal tumors is an effective surgical procedure to avoid temporary tracheostomy before initiation of the definitive treatment
Author Related Publications
Ashraf Mohamed Alhussiny Suliman, "سمات الغشاء المغطى للوزة بعد استئصال اللوزتين باستخدام التشريح البارد بالمقارنة مع الكى ثنائي القطب", the Egyptian Society of Otolaryngology, 2024
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Ashraf Mohamed Alhussiny Suliman, "تقييم الجيب الانفى الفكي عن طريق تحليل وتصنيف التصوير المقطعي المحوسب له", GEORG THIEME VERLAG KG, 2024
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Ashraf Mohamed Alhussiny Suliman, "سديلة بلعومية مقابل سديلة بلعومية مشتركة مع حقنة تحت المخاطية من الفينيتوين لإصلاح الناسور الحنكي", • SAGE, 2024
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Ashraf Mohamed Alhussiny Suliman, "تأثير استخدام الفينيتوين الموضعى على نتائج ما بعد جراحة استئصال اللوزتين عند الاطفال", Zagazig University Medical Journal, 2024
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Ashraf Mohamed Alhussiny Suliman, "• أبعاد القصبة الهوائية و منطقة الحنجرة تحت مستوى الأحبال الصوتية:دراسة مقطعية بالأشعة المقطعية للبالغين", the Egyptian Society of Otolaryngology, 2024
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