A method for the correction of the length of the T-shaped tube in the treatment of patients presenting with chronic laryngeal stenosis
Starostina, S.V.; Mareev, O.V.
Vestnik Otorinolaringologii 2011(5): 35-39
2011
ISSN/ISBN: 0042-4668 PMID: 22334922 Document Number: 650807
A method for the selection of the length of the T-shaped tube is proposed for the treatment of patients with chronic laryngeal stenosis. The method includes measurements of the patient's body length, acromial diameter, circumference of the thoracic cage, the length and circumference of the neck and calculation of the lengths of the cranial, caudal, and extratracheal parts of the laryngo-tracheal tube by the formulas of multiple linear regression. The original method for stereotopometry of the larynx developed by the authors was used to determine the three-dimensional location of the larynx at the desired point of the system of coordinates and to obtain the topometric characteristic of its localization in adult subjects of different body constitution types, neck shape and length. Preliminary simulation of the T-shaped tube taking into consideration the patient's somatotype makes it possible to reduce the frequency of surgical interventions, rationalize their sequence, and increase the efficacy of rehabilitation of the patients.