Tokashiki Ryoji, Hiramatu Hiroyuki, Tsukahara Kiyoaki, Kanebayashi Hidenori, Nakamura Kazuhiro, Motohashi Rei, Suzuki Mamoru
Department of Otolaryngology, Tokyo Medical University, Tokyo, Japan.
Acta Otolaryngol. 2007 Mar;127(3):328-31. doi: 10.1080/00016480600746289.
Laryngeal framework surgery is usually performed under local anesthesia. However, some patients are unable to tolerate extended surgery. A case of an 82-year-old woman who underwent medialization thyroplasty and arytenoid adduction of direct lateral cricoarytenoid (LCA) muscle pulling at the same time under general anesthesia using a laryngeal mask is reported. Endoscopic observation through the laryngeal mask allows direct visual control of the vocal cord. The LCA pulling method does not touch the posterior border of the thyroid cartilage so that the laryngeal mask does not disturb the arytenoid adducts.
喉框架手术通常在局部麻醉下进行。然而，一些患者无法耐受长时间手术。本文报道了一例82岁女性患者，在全身麻醉下使用喉罩同时进行了甲状软骨内移术和直接外侧环杓肌牵拉的杓状软骨内收术。通过喉罩进行内镜观察可直接目视控制声带。环杓肌牵拉方法不接触甲状软骨后缘，因此喉罩不会干扰杓状软骨内收。
