Comparative study between the surgical mangement of reinke's edema with microdebrider and conventional surgery

Authors

  • Moustafa Ibrahim Tishreen University
  • Yasser Ali Tishreen University
  • Heba Hamdan Tishreen University

Abstract

Objectives : Microdebride is a new technology in management of reinke's edema is. The aim of our study is to Compare between the use of traditional endoscopic laryngeal instruments and "Microdebrider" device in surgical treatment of reinke;s edema.

Material and Methods: 60 patients with reinke's edema (48 females and 12 males) underwent endoscopic surgery, divided into two groups: Group 1 ( 25 patients underwent surgery using traditional surgical instruments ) , Group 2 ( 35 patients with microdebrider was). Results were evaluated during surgery and a month later.

Results : We found consistent improvement in all parameters both in conventional instruments and microdebrider group. The parameters were statistically better after microdebrider surgery. Duration of surgery is lower (t test  < t score : a = 0.05) , and bleeding is less when using microdebrider (calculated z < z theory: a = 0.05). There is no significant difference between two groups in terms of recurrent and improvement of voice after one month . But adhesions rate after a month of surgery is lower when using a microdebrider.

Conclusions: Microdebrider is a safe and effective device in management of reinke's edema. The oscillatory cutting knife and low suction protect lamina propria resulting in better vibratory function. It saves time of  surgery , reduces bleeding and decreases the following adhesions .

Author Biographies

Moustafa Ibrahim, Tishreen University

Professor , Department of Otorhinolaryngology, Faculty of Medicine

Yasser Ali, Tishreen University

Professor , Department of Otorhinolaryngology, Faculty of Medicine

Heba Hamdan, Tishreen University

master student , Department of Otorhinolaryngology, Faculty of Medicine

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Published

2021-10-28

How to Cite

1.
ابراهيم م, علي ي, حمدان ه. Comparative study between the surgical mangement of reinke’s edema with microdebrider and conventional surgery. Tuj-hlth [Internet]. 2021Oct.28 [cited 2024Apr.26];43(5). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/11008

Issue

Vol. 43 No. 5 (2021): Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

Section

Master student researches

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