Milutinović Z, Vasiljević J
Clinic of Otolaryngology, Clinical-Hospital Center Zvezdara, Belgrade, Yugoslavia.
Laryngoscope. 1992 May;102(5):568-71. doi: 10.1288/00005537-199205000-00017.
The etiological theories of vocal fold cysts can be divided into two basic groups: those of congenital and acquired cysts. In ongoing practice, the authors had noted that the greater number of cysts appeared at the functionally most active segment of the vocal folds which, on the other hand, has the least number of glands. Also, it had been noted that patients with vocal fold cysts tended to have hyperkinetic patterns of voice production. These observations indicated the possibility of a functional aspect in the etiology of vocal fold cysts, and consideration of such a possibility was the aim of this work. In 37 cases, the exact location of the cyst was established. In addition, the muscular activity of the phonatory apparatus was estimated, patient self-descriptions with respect to talkativeness were taken into account, and histological evaluations were made. The cysts were most frequently found in the area of the junction of the anterior and middle thirds of the free edge of the vocal fold. Muscular activity during speech and phonation was increased in study patients. Sixty-five percent of patients had epidermoid cysts and 35% had retention cysts of the vocal fold. According to study results, the functional aspect of cyst genesis has a marked role in the etiology of vocal fold cysts, which points to the great importance of functional care for cyst patients.
先天性囊肿和后天性囊肿。在实际工作中，作者们注意到，较多的囊肿出现在声带功能最活跃的节段，而该节段的腺体数量却最少。此外，还注意到声带囊肿患者往往存在发声运动亢进模式。这些观察结果表明声带囊肿病因中可能存在功能方面的因素，而考虑这种可能性正是本研究的目的。在37例病例中，确定了囊肿的确切位置。此外，评估了发声器官的肌肉活动，考虑了患者关于健谈程度的自我描述，并进行了组织学评估。囊肿最常出现在声带游离缘前三分之一与中三分之一交界处。研究患者在言语和发声时的肌肉活动增强。65%的患者患有表皮样囊肿，35%患有声带潴留囊肿。根据研究结果，囊肿发生的功能方面因素在声带囊肿病因中具有显著作用，这表明对囊肿患者进行功能护理非常重要。
