Tanaka S, Hirano M, Umeno H, Tanaka Y
Department of Otolaryngology, Kurume University, Fukuoka.
Nihon Jibiinkoka Gakkai Kaiho. 1991 Dec;94(12):1853-6. doi: 10.3950/jibiinkoka.94.12_1853.
Mucosal bridge of the vocal fold is a newly recognized laryngeal disease need to be differentiated from the functional voice disorder. A 16-year-old woman with deteriorating hoarseness presented for indirect laryngoscopy and laryngofiberoscopy of just slight swelling of the bilateral vocal folds. Since the laryngeal stroboscopy revealed the decrease of wave formation at the swelling portion, we performed an endolaryngeal microsurgery and discovered a sulcus in a side of the vocal fold and a mucosal bridge in the other side. Resection of the bridge followed by the voice therapy increased the voice range and decreased the hoarseness. This case suggests that the laryngeal stroboscopy and microscopic examination with direct laryngoscopy are the most important for diagnosing the mucosal bridge of the vocal fold.
声带黏膜桥是一种新认识的喉部疾病,需与功能性嗓音障碍相鉴别。一名16岁声音嘶哑加重的女性接受间接喉镜检查和纤维喉镜检查,发现双侧声带仅有轻微肿胀。由于喉动态镜检查显示肿胀部位波形减少,我们进行了喉内显微手术,发现一侧声带存在沟,另一侧有声带黏膜桥。切除黏膜桥并结合嗓音治疗后,嗓音范围增加,嘶哑减轻。该病例提示,喉动态镜检查和直接喉镜下的显微镜检查对诊断声带黏膜桥最为重要。