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  • 1 Szegedi Tudományegyetem, Általános Orvostudományi Kar, Szeged
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Absztrakt:

A hosszan tartó intubatio gyakori szövődménye a postintubatiós stenosis, mely a leggyakrabban a subglotticus területen alakul ki. Az elmúlt évtizedek adatai szerint az incidencia emelkedő tendenciát mutat, különösen a kisgyermekek és a koraszülöttek körében. A terápia megválasztásakor fontos szempont a jó életminőség biztosítása, ezért ma már a tracheotomia elkerülésére törekszünk. Az alábbi esetünkben egy 4 éves kislány glottosubglotticus szűkületének ultrapulzációs lézerrel történő megoldását ismertetjük, melyet a refibrosis kialakulásának gátlása végett mometazon (Elocom) és mitomicin (Mitomycin-C) submucosus injektálásával egészítettünk ki. A légúti szűkületek megoldásában is egyre nagyobb szerepet játszanak a minimálinvazív beavatkozások, melyek gyermekeknél is biztonsággal végezhetők. Utánkövetésünk során a hangrés kellően tág, újabb hegesedés nem alakult ki. Tapasztalataink szerint a postintubatiós stenosis terápiájában a szteroid-mitomicin infiltrálással kiegészített ultrapulzációs lézeres hegoldás hatékony megoldást jelent. Orv Hetil. 2019; 160(20): 792–796.

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