FIELD: medicine.
SUBSTANCE: invention relates to medicine, in particular, to otolaryngology and is intended for patients with chronic cicatrical-paralytic stenoses of larynx. Lengths of T-shaped tube ends are selected individually taking into account dominant anthropometric parameters. Before operation patient's body length, acromial diameter, chest circumference, length of front neck and its circumference are measured. By anthropometric parameters by method of multiple linear regression lengths of all segments of T-shaped tune are calculated. During operation after arytenoidcordectomy with laterofixation of vocal fold stenting with T-shaped tube is carried out with preliminary correction of its cranial and caudal segments. In early postoperative period replacement of tube is not required in connection with absence of disturbance of larynx protection function. Method is atraumatic because of absence of necessity to remove and shorten the tube in early postoperative period, does not disturb protective function of larynx due to optimal position of upper end of tube and absence of pressure on epiglottis base and aryepiglottic folds.
EFFECT: preliminarily modeled T-shaped tube with account of somatotype in complex of therapeutic measures makes it possible to achieve reduction of multiplicity of surgeries, staging of treatment and increases percentage of patients' rehabilitation.
3 dwg, 1 ex
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Authors
Dates
2011-11-10—Published
2010-06-22—Filed