Greisen O, Nabe-Nielsen J
Aallborg Sygehus Syö, Ore-Naese-Halsafdelingen.
Ugeskr Laeger. 1990 Apr 23;152(17):1228-9.
Bilateral paralysis of the vocal cords is a serious condition in which even slight oedema of the mucosa may endanger the patient's life. Bilateral paralysis of the vocal cords is most frequently due to thyroid operations but intubation, neuritis etc are among the other causes. Tracheostomy is nearly always necessary. In an attempt to render removal of the tracheal cannula possible with retention of vocal function, the authors have performed endolaryngeal arytenoidectomy. This intervention was carried out in 28 patients. In 23 of these the cannula could be removed while various conditions prevented removal of the cannula in the remaining five patients. The authors consider that arytenoidectomy is a good form of treatment of bilateral paralysis of the vocal cords involving only a slight risk. Thereafter, there are good chances for removal of the cannula with simultaneous retention of vocal function.
双侧声带麻痹是一种严重的病症，其中即使黏膜出现轻微水肿也可能危及患者生命。双侧声带麻痹最常见的原因是甲状腺手术，但插管、神经炎等也是其他病因。气管切开术几乎总是必要的。为了在保留发声功能的同时能够有可能拔除气管套管，作者实施了喉内杓状软骨切除术。该手术对28例患者进行。其中23例患者能够拔除套管，而其余5例患者因各种情况无法拔除套管。作者认为杓状软骨切除术是治疗双侧声带麻痹的一种良好方式，仅具有轻微风险。此后，在保留发声功能的同时拔除套管的可能性很大。
