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透明质酸注射行声带内移术的一种罕见并发症:喉脓肿 1 例

A Very Rare Complication of Hyaluronic Acid Injection for Medialization Laryngoplasty: A Case With Laryngeal Abscess.

机构信息

Department of Otolaryngology, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey.

Department of Otolaryngology, Pendik Training and Research Hospital, Marmara University, Istanbul, Turkey.

出版信息

J Voice. 2020 Sep;34(5):812.e5-812.e8. doi: 10.1016/j.jvoice.2019.03.011. Epub 2019 Apr 17.

Abstract

Hyaluronic acid injection for medialization laryngoplasty is a safe procedure performed on patients with glottic incompetence. Laryngeal abscess formation as a complication of injection laryngoplasty is a very rare complication, and, as we know from the literature, there has been only one case of laryngeal abscess after injection laryngoplasty in a patient with a type-I laryngeal cleft. We document for the first time a laryngeal abscess resulting from hyaluronic acid injection laryngoplasty for unilateral vocal fold paralysis. Prompt evaluation of the patient was necessary. Our patient was treated with antibiotics and corticosteroids without a need for intubation. One year after injection, the patient's Voice Handicap Index-10 score was still good and within the range of normal values.

摘要

透明质酸注射用于声带成形术是一种对声门闭合不全患者安全的手术。喉脓肿形成是注射性声带成形术的一种罕见并发症,据我们所知,文献中仅有一例 I 型喉裂患者在注射性声带成形术后发生喉脓肿。我们首次记录了单侧声带麻痹的透明质酸注射声带成形术导致的喉脓肿。对患者进行及时评估是必要的。我们的患者接受了抗生素和皮质类固醇治疗,无需插管。注射后 1 年,患者的嗓音障碍指数-10 评分仍然良好,处于正常值范围内。

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