Effects of human fibrin glue (Tisseel kit) on prevention of anterior glottic web in CO2 laser surgery

Autor: Yoshihisa Kawasaki, Hiroyuki Fukuda, Etsuyo Takayama, Akihiro Shiotani, Domingos H. Tsuji, Masahiro Kawaida
Rok vydání: 1990
Předmět:
Zdroj: Nihon Kikan Shokudoka Gakkai Kaiho. 41:236-240
ISSN: 1880-6848
0029-0645
DOI: 10.2468/jbes.41.236
Popis: Recently CO2 laser surgery has been employed for Ti glottic cancer to avoid side effects caused by irradiation. However phonatory disturbance caused by post-operative anterior glottic web is sometime troublesome to patients. In this study, a survey of 17 patients with Ti glottic cancer, whose anterior comissure was vaporized with CO2 laser, was reviewed. In eight cases among them, anterior glottic web was observed during post operative course. Hence, we applied the fibrin glue (Tisseel) on the vaporized wound in 4 cases of Ti glottic cancer to avoid post-operative anterior glottic web. Post-operative wound healing of vocal folds were excellent in each cases. In the cases of anterior comissure involvement, the fibrin glue is applicable adjunct for prevention of anterior glottic web with CO2 laser surgery.
Databáze: OpenAIRE