自体脂肪注射喉成形术治疗单侧声带麻痹的疗效
Outcomes of Autologous Fat Injection Laryngoplasty in Unilateral Vocal Cord Paralysis.
作者信息
Khadivi Ehsan, Akbarian Mohammad, Khazaeni Kamran, Salehi Maryam
机构信息
Sinus and Surgical Endoscopic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Otorhinolaryngology, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
Iran J Otorhinolaryngol. 2016 May;28(86):215-9.
INTRODUCTION
Unilateral vocal cord paralysis (UVCP) is not an uncommon finding. Several procedures are available to manage glottal insufficiency. We conducted a clinical trial to evaluate the outcome of fat injection laryngoplasty.
MATERIALS AND METHODS
Liposuctioned lower abdomen fat was injected for augmentation of paralyzed vocal cord in 20 patients with UVCP. Autologous fat was harvested with an 18G needle and a 20-ml disposable syringe using a liposuction technique. Clinical follow-up after the injection was carried out from 1 to 6-21 months.
RESULTS
Voice and glottal protective function were significantly improved after the surgery. Vocal elements were immediately improved after the surgery, and after 1 year of follow-up.
CONCLUSION
Fat injection laryngoplasty by liposuction is simple, safe, effective and has a low cost for patients with UVCP with aspiration and breathy voice dysphonia.
引言
单侧声带麻痹（UVCP）并非罕见的病症。有多种手术方法可用于治疗声门闭合不全。我们开展了一项临床试验，以评估脂肪注射喉成形术的效果。
材料与方法
对20例单侧声带麻痹患者，注射抽脂获取的下腹部脂肪以增大麻痹的声带。采用抽脂技术，用18G针头和20毫升一次性注射器采集自体脂肪。注射后进行了1至6 - 21个月的临床随访。
结果
术后声音和声门保护功能显著改善。术后即刻以及随访1年后，发声要素均得到改善。
结论
对于有误吸和呼吸性声音嘶哑的单侧声带麻痹患者，抽脂脂肪注射喉成形术操作简单、安全、有效且成本低廉。
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