Schiratzki H, Fritzell B
Department of Otorhinolaryngology, Karolinska Institutet, Huddinge Hospital, Sweden.
Acta Otolaryngol Suppl. 1988;449:115-7. doi: 10.3109/00016488809106391.
Over the last twelve years 44 patients suffering from spasmodic dysphonia have been seen at Huddinge hospital. There were 34 women and 10 men. 22 of these patients were for various reasons not regarded as candidates for surgery. The opposite applied to the remaining 22 patients. The outcome of a temporary nerve block guided us (the surgeons and the patients) whether to operate or not. 12 patients were thus operated upon by means of resection of the right recurrent laryngeal nerve. The immediate post-operative result was excellent in 11 of 12 patients but the voice deteriorated in 4 patients. They had revision surgery with a successful result in 3 of them. Also the other 7 patients deteriorated to some extent but not to the degree that revision surgery was necessary. It is our hypothesis that recurrencies are caused by reinnervation of the sectioned nerve.
在过去的十二年里，胡丁厄医院共接待了44名痉挛性发声障碍患者。其中女性34名，男性10名。这些患者中有22名因各种原因不被视为手术候选人。其余22名患者则相反。临时神经阻滞的结果指导我们（外科医生和患者）是否进行手术。因此，12名患者通过切除右侧喉返神经进行了手术。12名患者中有11名术后即刻效果极佳，但有4名患者声音恶化。其中3名患者接受了翻修手术，结果成功。另外7名患者也有一定程度的恶化，但未达到需要翻修手术的程度。我们的假设是，复发是由切断神经的重新支配引起的。
