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首页> 外文期刊>Journal of voice: official journal of the Voice Foundation >Pediatric arytenoid dislocation: Diagnosis and treatment
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Pediatric arytenoid dislocation: Diagnosis and treatment

机译：儿科骨盆脱位：诊断和治疗

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摘要

Arytenoid dislocation and subluxation are well-described injuries in adults but are poorly documented in children. The most commonly cited etiology is intubation trauma although external blunt trauma also is recognized. Symptoms include dysphonia, vocal fatigue, loss of vocal control, breathiness, odynophagia, dysphagia, dyspnea, and cough. Prompt diagnosis and treatment lead to the best chance for recovery, and delayed treatment is likely to result in scarring and possibly ankylosis. The mean age of our study group was 12.3 years and consisted of six males (55%) and five females (45%). The most commonly presenting symptom was hoarseness (81.8%). Six of the 11 patients underwent surgical correction of the dislocated arytenoid cartilage. Four patients refused any treatment and one patient received voice therapy alone. Two patients who refused surgical intervention had spontaneous reduction of their dislocations. After surgical intervention, one patient regained normal voice, four patients had substantial voice improvement without return to preinjury vocal function, and one patient had only slight voice improvement. Pediatric symptoms are similar to these in adults, yet these may be less noticeable to the patient and clinician. A high index of suspicion is needed to diagnose and treat pediatric arytenoid dislocation.
机译：Arytenoid脱位和子脱位是成人造成的良好伤害，但儿童记录不足。虽然外部钝性创伤也被认可，最常见的病因是插管创伤。症状包括呼吸困难，声乐疲劳，声毒控制丧失，呼吸，杂志，吞咽困难，呼吸困难和咳嗽。及时的诊断和治疗导致恢复的最佳机会，延迟治疗可能会导致疤痕和可能的anosis病变。我们研究组的平均年龄为12.3岁，由六个男性（55％）和五个女性组成（45％）。最常见的症状是嘶哑（81.8％）。 11例患者中有六名患者接受了脱位的骨盆软骨外科矫正。四名患者拒绝任何治疗，一名患者单独接受语音疗法。拒绝手术干预的两名患者具有自发减少它们的脱位。手术干预后，一名患者重新恢复正常的声音，四名患者具有大量的语音改善，无需返回前jury声音功能，一名患者只有轻微的语音改善。儿科症状与成人中的这些症状类似，但这些患者和临床医生可能不太明显。诊断和治疗儿科骨质脱位需要高度怀疑指数。

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