Carew J F, Kraus D H, Ginsberg R J
Department of Otorhinolaryngology, New York Presbyterian Hospital, New York, USA.
Chest Surg Clin N Am. 1999 Aug;9(3):597-608, viii-ix.
Unilateral vocal cord paralysis following pneumonectomy has profound effects on deglutition, phonation, protection of the airway, and generation of an adequate cough. If untreated in patients with limited pulmonary reserve, these detrimental effects can have devastating consequences. Several techniques are currently available which allow adequate medialization and rehabilitation of the paralyzed vocal cord. Adequate diagnosis and treatment can minimize the negative consequences associated with vocal cord paralysis following pneumonectomy.
肺切除术后单侧声带麻痹对吞咽、发声、气道保护及有效咳嗽的产生均有深远影响。对于肺储备功能有限的患者,若不进行治疗,这些有害影响可能会带来灾难性后果。目前有多种技术可实现对麻痹声带的充分内移及康复。充分的诊断和治疗可将肺切除术后声带麻痹相关的负面影响降至最低。