Daniero James J, Garrett C Gaelyn, Francis David O
Vanderbilt Voice Center, Department of Otolaryngology, Bill Wilkerson Center.
Vanderbilt Voice Center, Department of Otolaryngology, Bill Wilkerson Center ; Center for Surgical Quality & Outcomes Research, Institute for Medicine and Public Health, Vanderbilt University Medical Center.
Curr Otorhinolaryngol Rep. 2014 Jun 1;2(2):119-130. doi: 10.1007/s40136-014-0044-y.
Laryngeal framework surgery is the current gold standard treatment for unilateral vocal fold paralysis. It provides a permanent solution to glottic insufficiency caused by injury to the recurrent laryngeal nerve. Various modifications to the original Isshiki type I laryngoplasty procedure have been described to improve voice and swallowing outcomes. The success of this procedure is highly dependent on the experience of the surgeon as it epitomizes the intersection of art and science in the field. The following article reviews the evidence, controversies, and complications related to laryngoplasty for unilateral vocal fold paralysis. It also provides a detailed analysis of how and when arytenoid-positioning procedures should be considered, and summarizes the literature on postoperative outcomes.
喉框架手术是目前治疗单侧声带麻痹的金标准疗法。它为因喉返神经损伤导致的声门闭合不全提供了永久性解决方案。人们已经描述了对原始的石木I型喉成形术进行的各种改良，以改善嗓音和吞咽效果。该手术的成功高度依赖于外科医生的经验，因为它体现了该领域艺术与科学的交叉。以下文章回顾了与单侧声带麻痹喉成形术相关的证据、争议和并发症。它还详细分析了何时以及如何考虑杓状软骨定位手术，并总结了关于术后结果的文献。
