A case of floppy epiglottis in adult: a simple surgical remedy.
A new operative technique for the treatment of floppy epiglottis is introduced in this report. Though its diagnosis is not so difficult by close observations using a flexible fiberscope, it is likely to be treated as an asthma attack or a paradoxical vocal cord movement. In previous reports of upper airway obstruction caused by adult floppy epiglottis: epiglottis prolapse during inspiration, the cause of this condition has been divided broadly into two categories: idiopathic cases and secondary cases. Partial or total epiglottectomy has been usually reported for the treatment of the relief of airway obstruction caused by a floppy epiglottis. It is very difficult to decide adequately how much volume of epiglottis to cut without postoperative sequelae. A V-shaped partial epiglottidectomy is described for its treatment. This technique is very easy, simple, and effective.
Kanemaru
Shin-ichi
S
Department of Otolaryngology-Head and Neck Surgery, Graduate School of Medicine, Kyoto University, 54 Kawara-cho, Syogoin, Kayo-ku, Kyoto 606-8507, Japan. kanemaru@ent.kuhp.kyoto-u.ac.jp
Kojima
Hisayoshi
H
Fukushima
Hideyuki
H
Tamaki
Hisanobu
H
Tamura
Yoshihiro
Y
Yamashita
Masaru
M
Umeda
Hiroo
H
Ito
Juichi
J
D000328:Adult; D000402:Airway Obstruction / Q000209:etiology / Q000601:surgery*; D004417:Dyspnea / Q000209:etiology*; D004825:Epiglottis / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007818:Laryngeal Diseases / Q000473:pathology / Q000601:surgery*; D007828:Laryngoscopy; D053685:Laser Therapy; D008297:Male; D011391:Prolapse