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Tsvetkov
Urgency of a problem
Weight of a condition of patients Infringement of a vital sign breathing Infringement of communication function fonation Infringement of dividing function Complexity of inspection Difficulty of regenerative surgical interventions
50 % 18 % 25 % 7%
Indirect fibrolaryngoscopy
Indirect telelaryngoscopy
6.Trachealis
Installation endoprotesis
Removal endoprotesis
Condition after laser excision scar tissue infraglottis and vestibular departments of larinx
Laryngotracheoplasty
One -phase racheostoma it is not imposed or decanulation it is made directly after operation
Multistage
Intubationa tube in a gleam of larynx after a section of an arch cricoid cartilage and two rings of a trachea
Formation of a transplant
Befor operation
After operation
Stages of laryngoplasty
Surgical treatment after burn stenoses hypopharinx an intestinal transplant on a vascular leg
Hypopharinx
Befor operation After operation
Traumas of larynx and neck Strumectomy Tumours mediastinum and a gullet Aneurysm of an arch of an aorta Infectious diseases (a flu, a typhus, a malaria, etc.) Intoxication lead, arsenic, atropine, etc. Idiophatic
- laserarytenoidectomy with a resection of a voice shoot and a back third of voice fold
Result of treatment
Papillomathosis of larynx (24 % of all good-quality formation of larynx) Ethilogy a virus of a papilloma of person VHP
(PAPOVAVIRUS) 6 and 11 type
Contributing factors: Virus infections, VHP Estrogen HLA Chronic persistent an infection
Clinically shares on: primary and recidive (it is fast recidive and slowly recidive
The basic symptoms: Disphonia phonia Attributes of a stenosis Infringement of dividing function Features at children: Arises more often after the transferred children's infections Often and roughly recidive Quickly the stenosis develops Can back develop by the period of puberty
Treatment
icroendoscopic removal of papillomas Antivirus preparations an alpha and scale
interferon, viferon, reaferon, etc. Immunomodulation preparations celandine, cycloferon, thymogen, etc. Etiotropic a preparation inidnol
Removal of papillomas
Injection of interferon
Infectious granulem