Razzaq I, Wooldridge W
Department of Anaesthesia, Wythenshawe Hospital, Manchester, UK.
Br J Anaesth. 2000 Oct;85(4):547-9. doi: 10.1093/bja/85.4.547.
Thyroplasty is an operation on the upper airway to improve voice quality in patients with unilateral vocal cord paralysis. It requires access to an uninstrumented larynx and a functional assessment of vocal cord medialization. It is a difficult anaesthetic procedure that requires sharing the airway with the surgeon. We describe an anaesthetic technique to give good operating conditions and a safe airway, using total intravenous anaesthesia, a laryngeal mask airway and intraoperative fibreoptic endoscopic assessment of the larynx, and present a series of 13 patients. Other anaesthetic techniques for thyroplasty are described and discussed.
甲状成形术是一种针对上呼吸道的手术，旨在改善单侧声带麻痹患者的嗓音质量。该手术需要进入未使用器械的喉部，并对声带内移进行功能评估。这是一种困难的麻醉操作，需要与外科医生共享气道。我们描述了一种麻醉技术，通过全静脉麻醉、喉罩气道和术中纤维内镜喉部评估，提供良好的手术条件和安全气道，并展示了一组13例患者的情况。还对甲状成形术的其他麻醉技术进行了描述和讨论。
