Narcy P, Contencin P, Viala P
Department of Otolaryngology and Head and Neck Surgery, Bretonneau Hospital, Xavier Bichat School of Medicine, Paris, France.
Ann Otol Rhinol Laryngol. 1990 Feb;99(2 Pt 1):124-8. doi: 10.1177/000348949009900209.
Clinical and endoscopic data of 219 cases of laryngeal paralysis in newborns, infants, and children are briefly reported. The management of severe cases of persistent dyspnea then is discussed, according to the literature. Of 219 cases, 22 young patients underwent a surgical procedure because of lack of spontaneous recovery and poor tolerance of their disease after 6 to 9 months of follow-up. Arytenoidectomy technique has been used three times and arytenoidopexy 19 times, with fair to excellent results. Other possible treatments for infants are discussed. On the basis of this important series of surgical pediatric cases, the arytenoidopexy technique is advocated, besides arytenoidectomy, to avoid the risks of a long-term tracheostomy in young patients with vocal cord paralysis and severe dyspnea.
简要报告了219例新生儿、婴儿和儿童喉麻痹的临床及内镜检查数据。然后根据文献讨论了持续性呼吸困难严重病例的处理方法。在219例病例中，22例年轻患者在随访6至9个月后因缺乏自发恢复且疾病耐受性差而接受了手术治疗。已进行3次杓状软骨切除术和19次杓状软骨固定术，效果良好至极佳。还讨论了婴儿的其他可能治疗方法。基于这一系列重要的小儿外科病例，除杓状软骨切除术外，提倡采用杓状软骨固定术，以避免声带麻痹和严重呼吸困难的年轻患者长期气管造口的风险。
