Hartl D M, Brasnu D
Laboratoire de recherche sur la voix, les biomatériaux et la cancérologie ORL, CNRS-UPRESA 7018, Université Paris V, Hôpital Laennec, 42 rue de Sèvres, 75007 Paris, France.
Ann Otolaryngol Chir Cervicofac. 2000 Mar;117(2):60-84.
The aim of this report is to summarize current concepts in unilateral recurrent laryngeal nerve paralysis (URLNP). Important aspects of laryngeal phylogenesis, physiology and anatomy are reviewed. Recent advances in the neurophysiology of URNLP are discussed. Revised and updated principles of diagnosis and treatment are provided. Glottic configuration and prognosis vary according to the type of neural lesion (neurapraxia, axonotmesis or neurotmesis). Therapeutic indications depend on glottic configuration and prognosis. Treatment options include voice therapy, vocal fold augmentation by intrafold injection, medialization thyroplasty, arytenoid adduction, and laryngeal reinnervation. Each treatment option is summarized, and the results reported in the medical literature are reviewed.
本报告旨在总结单侧喉返神经麻痹（URLNP）的当前概念。回顾了喉的系统发生、生理学和解剖学的重要方面。讨论了单侧喉返神经麻痹神经生理学的最新进展。提供了修订和更新的诊断与治疗原则。声门形态和预后因神经病变类型（神经失用、轴索断裂或神经断裂）而异。治疗指征取决于声门形态和预后。治疗选择包括嗓音治疗、经声带内注射进行声带增强、甲状软骨成形术、杓状软骨内收和喉再支配。对每种治疗选择进行了总结，并回顾了医学文献中报道的结果。
