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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Long-term result of the new endoscopic vocal fold medialization surgical technique for laryngeal palsy.
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Long-term result of the new endoscopic vocal fold medialization surgical technique for laryngeal palsy.

机译：新型内镜声带介导手术技术治疗喉瘫的长期效果。

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OBJECTIVE: The conventional surgical method for a case of unilateral laryngeal nerve paralysis with large glottal gap requires an external cervical incision. In the present study, we developed an endoscopic technique of vocal fold medialization that can make the external incision unnecessary. This procedure of autologous transplantation of fascia into the vocal fold (ATFV) was developed for the successful treatment of unilateral laryngeal nerve paralysis. However, the method seemed to be effective only for patients with a relatively mild glottal gap. STUDY DESIGN AND METHODS: In the present study, we modified the method of medialization using the ATFV technique to obtain effective closure of a large glottal gap. To overcome this difficulty, an attempt was made to extend the site of transplantation more posteriorly so as to adduct the vocal process of the arytenoid cartilage in the body of the vocal fold. RESULTS: This new technique was applied to eight cases of patients with unilateral laryngeal paralysis with severe dysphonia. None of the patients showed any evidence of falling off of the graft. Elongation of the maximum phonation time and a decrease in airflow rate during phonation were obtained with improvement in voice quality in all patients 1 year after the surgery. CONCLUSIONS: This method, with its less invasive approach, proved to be useful for the treatment of large glottal gap due to unilateral laryngeal nerve paralysis.
机译：目的：常规手术方法治疗声门间隙较大的单侧喉神经麻痹需要颈外切开术。在本研究中，我们开发了声带介导的内窥镜技术，该技术可以使不需要外部切口。开发这种将筋膜自体移植到声带（ATFV）中的程序可成功治疗单侧喉神经麻痹。但是，该方法似乎仅对声门间隙相对较轻的患者有效。研究设计和方法：在本研究中，我们使用ATFV技术修改了介导方法，以有效封闭大声门间隙。为了克服该困难，尝试了更向后扩展移植部位，以在声带体中加进软骨样软骨的声带过程。结果：这项新技术被应用于八例单侧喉麻痹伴重度言语障碍的患者。没有患者显示出任何脱落的迹象。术后1年，所有患者的最大发声时间延长，发声时气流速率降低，语音质量得到改善。结论：该方法具有较低的侵入性，被证明可有效治疗单侧喉神经麻痹引起的大声门间隙。

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