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Their sequential midline sagittal and axial images were obtained and displayed in the cine mode. Then we examined the upper airway of the retropalate region, retroglottal region and epiglottal region. We also did dynamic fiberoptic pharyngoscopy examination during sleep in 8 patients in another night.

对经多导睡眠监测(polysomnography, PSG)确诊的15例 OSAS患者应用超快速MRI在睡眠状态下对其上气道进行了矢状位和轴位扫描动态观察,对患者软腭后区(retropalatal region , RP)、舌后区(retroglossal region, RG)和会厌区(epiglottal region, EPG)的上气道阻塞情况进行了观察分析。

The new design has a bifid tip and S-shaped spatula to exertmore effective pressure in the vallecula area, elevate the epiglottisand change directions of the forces on the tongue to preventposteroinferior displacement of the compressed tongue in thesubmandibular space during laryngoscopy.

新型设计有一双尖端和 S 形压舌片以便在沟回部位更有效施加压力,提升会厌和改变施于舌的力的方向,以防在下颌下部位喉镜压迫舌头导致舌头后下位脱臼。

Hemangioma is the commonest benign tumor in infant and child. Although over half hemangioma occurs in the head and neck region, epiglottic hemangioma is a rare curiosity.

血管瘤是人类孩童时期最常见的良性肿瘤,超过一半的是发生於头颈部,但是发生於下咽的实属罕见,其中恰巧位於会厌的更为罕见。

In the A and B figures, small grape-like tissue covered over all the epiglottic area that is hypertrophic lymphoid tonsil. More advanced the fiberoptic laryngoscope during spontaneous inspiration phase, larynx and vocal cord can be visualized in the C and D figures. We must emphasize that endotracheal intubation and even artificial ventilation was hardly performed under direct laryngocopy and general anesthesia.

图片A和B中,覆盖整个会厌部的葡萄息肉状物就是濔漫增生的舌底部淋巴组织增生,当光纤内视镜随著病人自主呼吸向内向下移动,吐气时可以见到图片C和D中喉头及声带的开合,由於在全身麻醉下无自主呼吸时此病人咽喉部位的似帘幕状遮蔽特殊结构造成之困难插管甚至是困难通气。

In the A and B figures, small grape - like tissue covered over all the epiglottic area that is hypertrophic lymphoid tonsil . More advanced the fiberoptic laryngoscope during spontaneous inspiration phase, larynx and vocal cord can be visualized in the C and D figures. We must emphasize that endotracheal intubation and even artificial ventilation was hardly performed under direct laryngocopy and general anesthesia .+{{: congress:2008:abstract:c01-1. jpg

图片A和B中,覆盖整个会厌部的葡萄息肉状物就是濔漫增生的舌底部淋巴组织增生,当光纤内视镜随著病人自主呼吸向内向下移动,吐气时可以见到图片C和D中喉头及声带的开合,由於在全身麻醉下无自主呼吸时此病人咽喉部位的似帘幕状遮蔽特殊结构造成之困难插管甚至是困难通气。

A 45-year-old female patient presented with foreign body sensation in the throat for half a year. An epiglottic cyst was highly suspected by indirect laryngoscopy. However, high bleeding tendency was encountered during surgical excision under direct laryngoscopy. KTP laser was used to vaporize the residual tumor and to terminate bleeding. The pathology revealed cavernous hemangioma.

本院报告1例45岁女性,以咽喉异物感为主诉,经间接喉镜检查初步臆断为会厌囊肿,经直接喉镜下手术切除时难以止血,只好以钾钛磷雷射烧灼残存的肿瘤组织后方止血,最后病理确定诊断为会厌海绵状血管瘤之罕见案例。

The bacterial infection that usually causes epiglottitis is easily passed between close contacts, so if one family member has this condition, the others should be immediately screened by their GP or hospital doctor.

细菌感染,通常的原因会厌炎是很容易通过之间的密切接触,因此,如果一个家庭成员有此条件下,其他人应立即甄别他们的家庭医生或医院的医生。

Methods:①Make clinical scale of the magnitude of the tongue and the palate to the group of the OSAHS and the normal control②Successive scanning of the upper airway at the states of the normal inspiration and under the Müller action on both normal controls and the OSAHS patients with multi-slice spiral computed tomography. The scope of scanning was from the roof of nasopharynx to the level of hypohyal, bonding multiplate volume reconstruction,using the image workstation to survey the cross section area, sagittal diameter, coronal diameter on the soft tissue thickness in the lateral pharyngealwall and posterior wall of the pharynx, and the postzone of soft palate, uvula palatine ,tongue and epiglottis.

采用高分辨率多排CT(multi-slice spiral computed tomography,MSCT)对正常人和OSAHS患者的上呼吸道分别在平静吸气状态下以及Müller动作下进行连续扫描,扫描范围从鼻咽顶部至舌骨下缘,图象进行三维重建,应用图像工作站测量正常人和OSAHS患者的软腭后区(retropalatal region,RP)、悬雍垂后区(uvula region,UV)、舌后区(retroglossal region,RG)和会厌后区(epiglottal region,EPG)气道横截面积(cross section area,CSA)、矢状径、冠状径、咽侧壁和咽后壁软组织厚度以及舌体大小(包括舌体长度、舌体最宽处的宽度、中纵切面面积,舌背高度)。

Fourteen pathologic conditions were diagnosed with a biopsy: 4 nasopharyngeal carcinomas (0.2%), 1 hypopharyngeal carcinoma (0.05%), 2 metastatic carcinomas of the hypopharynx (0.1%), 1 vocal cord dysplasia (0.05%), 1 interarytenoid leukoplakia (0.05%), 4 cases of lymphoid hyperplasia (0.2%; 1 in the epiglottis, 3 in the nasopharynx), and 1 pharyngitis (0.05%).

有14例经由切片证实的病理诊断:4个鼻咽癌(0.2%),1个下咽癌(0.05%),2个下咽转移癌(0.1%),1个声带异生(0.05%),1个杓状软骨间白斑(0.05%),4个类淋巴增生(0.2%﹔1个在上会厌,3个在鼻咽),及1个咽炎(0.05%)。

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