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双侧混合性喉气囊肿:同步频闪视频喉镜检查与外部视频检查

Bilateral mixed laryngoceles: simultaneous strobovideolaryngoscopy and external video examination.

作者信息

Gallivan K Holly, Gallivan Gregory J

机构信息

Winchester Hospital, Massachusetts, USA.

出版信息

J Voice. 2002 Jun;16(2):258-66. doi: 10.1016/s0892-1997(02)00095-4.

Abstract

A music medicine practice affords a unique opportunity to diagnose and treat laryngeal music performers. Strobovideolaryngoscopic (SVL) and external video examination of the voice professional or brass instrument player may focus on the vocal folds, yet abnormalities of the supraglottis, neck, and thorax should be appreciated and documented. Laryngoceles are uncommon laryngeal disorders but may occur in up to 5% of benign laryngeal lesions. While many laryngoceles are asymptomatic, they may cause a cough, hoarseness, stridor, sore throat, pain, snoring, or globus sensation. In particular, musicians who play brass instruments are at high risk for laryngocele development. We highlight two patients with symptomatic laryngoceles to present anatomical, historical, classification, epidemiological, diagnostic, and management considerations.

摘要

音乐医学实践为诊断和治疗喉部音乐表演者提供了独特的机会。对声乐专业人士或铜管乐器演奏者进行频闪喉镜检查(SVL)和外部视频检查时,可能会聚焦于声带,但声门上区、颈部和胸部的异常情况也应予以重视并记录。喉气囊肿是一种罕见的喉部疾病,但在良性喉部病变中发生率可达5%。虽然许多喉气囊肿无症状,但可能会引起咳嗽、声音嘶哑、喘鸣、咽痛、疼痛、打鼾或咽部异物感。特别是,吹奏铜管乐器的音乐家患喉气囊肿的风险很高。我们重点介绍两名有症状的喉气囊肿患者,以阐述解剖学、病史、分类、流行病学、诊断和治疗方面的注意事项。

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