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[杓状软骨固定术治疗双侧声门外展麻痹]

[Arytenoidopexy in bilateral abductor paralysis of the glottis].

作者信息

Cura O, Uluoz U, Kirazli T, Karci B

机构信息

Clinique O.R.L. de la Faculté de Médecine de l'Université d'Ege, Izmir, Turquie.

出版信息

Rev Laryngol Otol Rhinol (Bord). 1991;112(1):59-62.

PMID:2052789
Abstract

The arytenoidopexy operation has been performed in 15 cases of bilateral abductor paralysis of different causes. A tube on n. 6 for women and a tube of n. 6.5 for men has been used for the intratracheal general anesthesia without a tracheotomy. The microdissection of the arytenoid has been realised under the operation microscope. The fixation suture of the arytenoid has been passed with a special needle set prepared by the experimental studies on the laryngectomised pieces. The functional respiration result has been controlled by the pre and postoperative spirometry. The laryngeal spasm disappeared and very good respiratory functional results have been obtained in all cases. After a post-operative phoniatric reeducation, the voice was found to be good in most of the cases.

摘要

对15例不同病因的双侧外展肌麻痹患者进行了杓状软骨固定术。女性使用6号气管导管,男性使用6.5号气管导管进行气管内全身麻醉,无需气管切开术。在手术显微镜下对杓状软骨进行显微解剖。杓状软骨的固定缝线通过对喉切除标本进行实验研究制备的特殊针具穿过。术前和术后通过肺活量测定法控制功能性呼吸结果。所有病例喉痉挛均消失,呼吸功能结果良好。经过术后发声再训练,大多数病例声音良好。

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