Service d'ORL et de chirurgie cervicofaciale, hôpital de Hautepierre, avenue Molière, 67098 Strasbourg cedex, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2010 Dec;127(6):204-12. doi: 10.1016/j.anorl.2010.08.001. Epub 2010 Nov 17.
The aim of this study was to describe a new porous titanium thyroplasty implant that can be adjusted with a screw.
Retrospective study of 15 patients with unilateral vocal fold paralysis undergoing type I thyroplasty under local anaesthesia. Each patient's dysphonia and swallowing disorders were evaluated both objectively and subjectively before and 3 months after thyroplasty.
Speech and swallowing disorders were improved in all the cases, except when the patients were suffering from severe associated neurological disorders (n=3). The postoperative complications were minor including a laryngeal edema treated by corticotherapy per os (n=1) and a superficial cervical haematoma (n=1).
This implant is easy to insert and the results show high tolerance of the biomaterial and above all the improvement of functions comparable to other laryngeal implants.
本研究旨在描述一种新型可通过螺丝调节的多孔钛甲状软骨成形术植入物。
回顾性分析 15 例在局部麻醉下行 I 型甲状软骨成形术的单侧声带麻痹患者。每位患者在甲状软骨成形术前和术后 3 个月均进行了客观和主观的发音和吞咽障碍评估。
除了 3 例合并严重神经功能障碍的患者（n=3）外，所有患者的发音和吞咽障碍均得到改善。术后并发症轻微，包括经口皮质激素治疗的喉水肿（n=1）和颈部浅表血肿（n=1）。
这种植入物易于插入，结果显示生物材料具有较高的耐受性，最重要的是功能改善与其他喉植入物相当。
