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10.1186/s12893-015-0093-2

http://scihub22266oqcxt.onion/10.1186/s12893-015-0093-2
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C4599809!4599809!26450603
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suck abstract from ncbi


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pmid26450603      BMC+Surg 2015 ; 15 (ä): ä
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  • Surgical treatment of bronchial asthma by resection of the laryngeal nerve #MMPMID26450603
  • Kurbon U; Dodariyon H; Davlatov A; Janobilova S; Therwath A; Mirshahi M
  • BMC Surg 2015[]; 15 (ä): ä PMID26450603show ga
  • Background: Management of asthma in chronically affected patients is a serious health problem. Our aim was to show that surgical treatment of chronic bronchial asthma by unilateral resection of the internal branch of the superior laryngeal nerve (ib-SLN) is an adequateand lasting remedial response. Patients and methods: In a retrospective study, 41 (26 male and 15 female) patients with bronchial chronic asthma were treated surgically during the period between 2005 and 2013. It consisted of a unilateral resection of the ib-SLN under optical zoom, on patients placed in supinator position. 35 patients (24 male and 11 female) who were un-operated were included as a control. Results: In all patients, medication was reduced progressively. When the results were compared with the control group, it was seen that in 26 % of the patients, both forced expiratory volume (FEV) and peak expiratory flow (PEF) increased significantly (p?<05) and only modestly in 53.6 % of patients (FEV, p?<05 and PEF, p?<05). In the remaining 20 % of patients, these parameters remained however unchanged. Overall, in 80 % of patients unilateral resection of the ib-SLN gave satisfactory results because it shortened the intervals and duration of asthmatic attacks, rendering thereby a reduction in medication. Conclusion: This minimal-invasive method helped prevent/cure asphyxias in chronic bronchial asthma without affecting cough reflex,respiratory control and phonation and it helped patients avoid severe crisis. This approach is of interest for patients with severe and/or uncontrolled bronchial asthma in settings with limited access to drug treatment.
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