Kumai Yoshihiko, Murakami Daizo, Masuda Masako, Yumoto Eiji
Department of Otolaryngology Head and Neck Surgery, Graduate School of Medicine, Kumamoto University, 1-1-1 Honjo, Kumamoto 860-8556, Japan.
Auris Nasus Larynx. 2007 Dec;34(4):545-8. doi: 10.1016/j.anl.2007.03.011. Epub 2007 May 9.
Rheumatoid arthritis (RA) is a chronic inflammatory disease affecting the synovial membrane and causing joint damage and bone destruction. The symptoms of cricoarytenoid joint (CJ) arthritis often include hoarseness, and a sense of pharyngeal fullness in the throat. Sometimes, in cases with bilateral CJ involvement, an urgent tracheostomy might be required for acute airway obstruction. In this report, we describe a woman suffering from aphonia due to hampered adduction of the vocal fold which was caused by RA with unilateral CJ involvement. Arytenoid adduction surgery on the affected side was performed. She retrieved a normal voice immediately after the surgery.
类风湿性关节炎（RA）是一种慢性炎症性疾病，会影响滑膜并导致关节损伤和骨质破坏。环杓关节（CJ）关节炎的症状通常包括声音嘶哑和咽部有堵塞感。有时，在双侧CJ受累的情况下，可能需要紧急气管切开术以应对急性气道阻塞。在本报告中，我们描述了一名因RA单侧CJ受累导致声带内收受阻而失声的女性。对患侧进行了杓状软骨内收手术。术后她立即恢复了正常嗓音。
