[Hydromassage of wound surface of surgically reconstructed laryngeal lumen and upper trachea].
In surgical reconstruction of laryngostenosis and stenosis of the upper trachea after dissection of the scars we place laryngotracheal prosthesis (LTP) in the created lumen for a year and longer. The LTP dilator prevents regrowing the scars into the larynx and trachea until termination of the wound epithelization. The author has designed a device which provides a pulsed change in the pressure of water-filled latex balloon-dilator of the LTP. This pulsed work is realized by 7-8-s sucking out water and filling again of 1/3 of water volume in the dilator. Such procedures lasting for 20-30 min conducted 2 times a day are called hydromassage of the larynx and trachea. In 7 patients subjected to hydromassage for a full time of wearing the LTP, epithelization of the wound surface of the reconstructed part of the airways occurred within 2-2.5 months. If hydromassage was performed for half the time of LTP wearing (12 patients) epithelization occurred within 3-3.5 months.
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D004867:Equipment Design; D006801:Humans; D006875:Hydrotherapy / Q000295:instrumentation*; D007829:Laryngostenosis / Q000473:pathology / Q000534:rehabilitation* / Q000601:surgery; D007831:Larynx, Artificial; D008405:Massage / Q000379:methods*; D011182:Postoperative Care / Q000379:methods*; D019919:Prosthesis Implantation; D019651:Plastic Surgery Procedures; D014135:Tracheal Stenosis / Q000473:pathology / Q000534:rehabilitation* / Q000601:surgery; D014139:Tracheostomy; D016896:Treatment Outcome; D014945:Wound Healing