Hsu C-M, Su C-Y
Department of Otolaryngology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan.
J Laryngol Otol. 2009 Oct;123(10):1131-6. doi: 10.1017/S0022215109990673. Epub 2009 Aug 3.
Vocal cysts with fold atrophy often result in more severe glottal incompetence than vocal cysts along during phonation. Although total excision or marsupialisation are reliable treatments for vocal fold cysts, any post-operative vocal deficit with significant glottal gap will need further treatment. This study aimed to evaluate the efficacy of combined treatment consisting of marsupialisation of the cyst immediately followed by strap muscle transposition laryngoplasty.
Under direct laryngomicroscopy, microscissors were used to make a disc-shaped incision encircling the equator of the cyst. After marsupialisation of the cyst, a simultaneous medialisation laryngoplasty with strap muscle transposition was performed.
Seven patients with vocal cysts and marked vocal fold atrophy were included in the study. After surgery, subjective improvement in voice quality was reported by all patients. Patients' glottal incompetence and vocal performance were markedly improved.
Marsupialisation is a simple and effective surgical technique for vocal fold cysts. For cases of vocal cysts with marked vocal fold atrophy, marsupialisation followed by medialisation laryngoplasty with strap muscle transposition may be considered.
与发声时出现的声带囊肿相比，伴有襞萎缩的声带囊肿往往会导致更严重的声门闭合不全。尽管囊肿完全切除或袋形缝合术是治疗声带囊肿的可靠方法，但术后出现任何伴有明显声门间隙的嗓音缺陷都需要进一步治疗。本研究旨在评估囊肿袋形缝合术紧接着带状肌转位喉成形术的联合治疗效果。
在直接喉镜显微镜检查下，使用显微剪刀围绕囊肿赤道做一个盘状切口。囊肿袋形缝合术后，同时进行带状肌转位的喉内移术。
7例有声带囊肿和明显声带萎缩的患者纳入本研究。术后，所有患者均报告嗓音质量有主观改善。患者的声门闭合不全和发声表现明显改善。
袋形缝合术是一种治疗声带囊肿的简单有效的手术技术。对于伴有明显声带萎缩的声带囊肿病例，可考虑先行袋形缝合术，然后进行带状肌转位的喉内移术。
