Mortensen Melissa
Department of Otolaryngology-Head and Neck Surgery, University of Virginia Health System, Charlottesville, Virginia 22908, USA.
Curr Opin Otolaryngol Head Neck Surg. 2010 Dec;18(6):487-91. doi: 10.1097/MOO.0b013e32833fe112.
Vocal fold scar is generally caused by trauma or from iatrogenic causes such as intubation, radiation therapy or phonomicrosurgery. Once a vocal fold scar has occurred it becomes a difficult problem to treat. There are many different tools that otolaryngologists use for vocal fold scar treatment. This study reviews the literature and discusses the usefulness of laryngeal steroid injection for the treatment of vocal fold scar.
Steroid injection can be performed on an outpatient basis using a rigid laryngeal telescope or with a flexible laryngoscope under topical anesthesia. This technique allows easy surgical manipulation with a good visual field and an easy accurate approach to the lesion. The literature is limited regarding the benefits of steroid injection for vocal fold scar.
Steroid injection of the scarred vocal fold using an office-based technique is one of the ways that we can treat vocal fold scarring that may improve the patient's voice outcomes with minimal side effects or complications.
声带瘢痕通常由创伤或诸如插管、放射治疗或显微喉镜手术等医源性原因引起。一旦发生声带瘢痕,治疗就会成为一个难题。耳鼻喉科医生有许多不同的工具用于治疗声带瘢痕。本研究回顾文献并讨论喉类固醇注射治疗声带瘢痕的效用。
类固醇注射可在门诊进行,使用硬性喉镜或在表面麻醉下用软性喉镜操作。该技术手术操作简便,视野良好,易于准确接近病变部位。关于类固醇注射治疗声带瘢痕的益处,文献报道有限。
采用门诊技术对瘢痕化声带进行类固醇注射是我们治疗声带瘢痕的方法之一,可能以最小的副作用或并发症改善患者的嗓音结果。