Zapanta Philip E, Bielamowicz Steven A
Voice Treatment Center, Division of Otolaryngology-Head and Neck Surgery, George Washington University Medical Center, Washington DC, USA.
Laryngoscope. 2004 Sep;114(9):1522-4. doi: 10.1097/00005537-200409000-00002.
Patients with unilateral vocal cord paralysis usually present with dysphonia and occasionally with swallowing problems. Operative management includes thyroplasty type I, injection laryngoplasty, arytenoid adduction, and reinnervation. Recent publications have documented the safety of micronized AlloDerm (Cymetra, LifeCell Corporation, Branchburg, NJ) for injection laryngoplasty, but we report the first documented case of a laryngeal abscess after injection laryngoplasty with Cymetra.
Single case report of a laryngeal abscess after injection laryngoplasty with Cymetra.
The patient's clinical course is presented and discussed, and the pertinent literature is reviewed.
Prompt hospital admission with intravenous antibiotics and steroids resolved this airway emergency. Follow-up visits showed a significantly improved postoperative voice with an intact airway.
A review of the literature reveals that this case of a laryngeal abscess after injection laryngoplasty with Cymetra is the first of its kind. Studies have shown that the use of AlloDerm in the head and neck region is safe, but otolaryngologists need to be cognizant of potential complications when working with this material.
单侧声带麻痹患者通常表现为发音障碍，偶尔伴有吞咽问题。手术治疗包括I型甲状成形术、注射喉成形术、杓状软骨内收术和神经再支配术。最近的出版物记录了微粉化的同种异体真皮（Cymetra，LifeCell公司，新泽西州布兰奇堡）用于注射喉成形术的安全性，但我们报告了首例使用Cymetra进行注射喉成形术后发生喉脓肿的病例。
关于使用Cymetra进行注射喉成形术后发生喉脓肿的单病例报告。
介绍并讨论该患者的临床病程，并回顾相关文献。
及时入院接受静脉抗生素和类固醇治疗解决了这一气道急症。随访显示术后声音明显改善，气道通畅。
文献回顾表明，该例使用Cymetra进行注射喉成形术后发生喉脓肿的病例为首例。研究表明，在头颈部区域使用同种异体真皮是安全的，但耳鼻喉科医生在使用这种材料时需要认识到潜在的并发症。
