Bach Ádám, Sztanó Balázs, Kiss József Géza, Volk Gerd Fabian, Müller Andreas, Pototschnig Claus, Rovó László
Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Tisza Lajos krt. 111., 6725.
Department of Otorhinolaryngology, Jena University Hospital Jena, Germany.
Orv Hetil. 2018 Feb;159(8):303-311. doi: 10.1556/650.2018.30975.
The development of the therapeutic possibilities of vocal cord immobility necessitated the parallel renewal of diagnostic methods. In the last years, laryngeal electromyography, which was first introduced more than 70 years ago, has been re-discovered. After reviewing the international literature and their own experience, the authors present the indications, technical requirements, method and, particularly, the evaluation of the results of this procedure. Laryngeal electromyography makes the differentiation between mechanical fixation and immobility with neurological origin of the vocal folds possible. In case of laryngeal paralysis/paresis it also evaluates objectively the severity of neural injury, the prognosis of the disease and the necessity of any glottis-widening procedure. The widespread application of dynamic rehabilitation interventions is not conceivable without the routine application of laryngeal electromyography, so this sensitive diagnostic tool has to be introduced in all laryngological centers. Orv Hetil. 2018; 159(8): 303-311.
声带固定治疗可能性的发展使得诊断方法必须同步更新。在过去几年中，70多年前首次引入的喉肌电图被重新发现。在回顾国际文献及自身经验后，作者介绍了该检查的适应症、技术要求、方法，特别是结果评估。喉肌电图能够区分声带的机械性固定和神经源性固定。对于喉麻痹/轻瘫，它还能客观评估神经损伤的严重程度、疾病的预后以及任何声门扩大手术的必要性。如果不常规应用喉肌电图，动态康复干预的广泛应用是不可想象的，因此这个敏感的诊断工具必须在所有喉科中心推广。《匈牙利医学周报》2018年；159(8): 303 - 311。
