RU2012125126A - METHOD FOR STAGE SURGICAL TREATMENT OF LENGTH AND / OR MULTIFOCAL STENOSIS OF THE LARYNX AND / OR TRAJA - Google Patents
METHOD FOR STAGE SURGICAL TREATMENT OF LENGTH AND / OR MULTIFOCAL STENOSIS OF THE LARYNX AND / OR TRAJA Download PDFInfo
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- RU2012125126A RU2012125126A RU2012125126/14A RU2012125126A RU2012125126A RU 2012125126 A RU2012125126 A RU 2012125126A RU 2012125126/14 A RU2012125126/14 A RU 2012125126/14A RU 2012125126 A RU2012125126 A RU 2012125126A RU 2012125126 A RU2012125126 A RU 2012125126A
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- trachea
- larynx
- stenosis
- tracheostomy
- anastomosis
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Abstract
Способ этапного хирургического лечения протяженных и/или мультифокальных стенозов гортани и/или трахеи, включающий формирование ларинготрахеостомы, эндопротезирование трахеи Т-образной трубкой, резекцию стенозированного участка грудного отдела трахеи, наложение межтрахеального анастомоза, пластическое закрытие дефекта передней стенки гортани и/или трахеи после формирования просвета и заживления межтрахеального анастомоза, отличающийся тем, что при сохраняющемся стенозе Т-образную трубку удаляют, выполняют доступ к шейному и грудному отделам трахеи, мобилизуют кожно-подкожные лоскуты в области сохраненной трахеостомы, затем проводят циркулярную резекцию стенозированного участка трахеи, накладывают межтрахеальный анастомоз по задней и боковым стенкам трахеи, а к передней стенке резецированной трахеи фиксируют мобилизованные кожно-подкожные лоскуты, реконструируя трахеостому/ларинготрахеостому, и через сформированную трахеостому в просвет трахеи устанавливают Т-образную трубку.A method of staged surgical treatment of extended and / or multifocal stenosis of the larynx and / or trachea, including the formation of a laryngotracheostomy, endoprosthetics of the trachea with a T-shaped tube, resection of the stenotic area of the thoracic trachea, application of an intertracheal anastomosis, plastic closure of the defect of the anterior wall of the larynx and / or trachea after the formation lumen and healing of the tracheal anastomosis, characterized in that, with persistent stenosis, the T-shaped tube is removed, access to the cervical and chest of the second part of the trachea, skin-subcutaneous flaps are mobilized in the area of the saved tracheostomy, then a circular resection of the stenotic section of the trachea is performed, an intertracheal anastomosis is applied along the posterior and lateral walls of the trachea, and mobilized skin-subcutaneous flaps are fixed to the anterior wall of the resected trachea, reconstructing the lapostomy / reconstruction of the tracheostomy and through the formed tracheostomy in the lumen of the trachea establish a T-shaped tube.
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Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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RU2012125126/14A RU2511661C2 (en) | 2012-06-15 | 2012-06-15 | Method for serial surgical management of extended and/or multifocal laryngostenosis and/or tracheal stenosis |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
RU2012125126/14A RU2511661C2 (en) | 2012-06-15 | 2012-06-15 | Method for serial surgical management of extended and/or multifocal laryngostenosis and/or tracheal stenosis |
Publications (2)
Publication Number | Publication Date |
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RU2012125126A true RU2012125126A (en) | 2013-12-20 |
RU2511661C2 RU2511661C2 (en) | 2014-04-10 |
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Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
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RU2012125126/14A RU2511661C2 (en) | 2012-06-15 | 2012-06-15 | Method for serial surgical management of extended and/or multifocal laryngostenosis and/or tracheal stenosis |
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RU (1) | RU2511661C2 (en) |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2005049122A1 (en) * | 2003-11-24 | 2005-06-02 | George Mireas | Endotracheal tube with trachea protection |
RU2278616C1 (en) * | 2005-01-31 | 2006-06-27 | ГОУ ВПО "Красноярская государственная медицинская академия Министерства здравоохранения РФ" | Surgical method for treating cicatricial trachea stenosis cases |
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RU2511661C2 (en) | 2014-04-10 |
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Legal Events
Date | Code | Title | Description |
---|---|---|---|
FZ9A | Application not withdrawn (correction of the notice of withdrawal) |
Effective date: 20131028 |
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MM4A | The patent is invalid due to non-payment of fees |
Effective date: 20140616 |