Maqbool Tabish, Ahmed Rauf, Ali Ihsan
Department of Otorhinolaryngology, Head and Neck Surgery, Govt. Medical College Srinagar, Srinagar, India.
Iran J Otorhinolaryngol. 2020 Sep;32(112):281-285. doi: 10.22038/ijorl.2019.33863.2126.
Kashima operation, also known as endoscopic laser cordotomy is used for the treatment of bilateral abductor vocal cord palsy where the glottis chink is made posteriorly, sufficient enough for patient to breathe comfortably without any strider.
This Clinical Trial Was Performed On 12 Patients with Bilateral Abductor Vocal Cord Paralysis. All Patients Underwent Kashimas Procedure and Post-Operative Voice, Respiratory and Deglutition Function Were Evaluated.
75% of patients were females and the mean age of patients was 40.9 ±9.13 years. In our patients, the most common etiology of bilateral vocal cord palsy was thyroid surgery (n=10, 83.33%).There was a significant improvement in breathing after surgery (P=0.001). After the procedure, 70% of patient had mild voice handicap score, and MPT was in normal range in 91.6% of cases.
Kashimas procedure is a satisfactory surgical treatment for treating bilateral vocal cord palsy in regards to strider. No aspiration was seen in any of the patients post-surgery and voice outcome of these patients was also satisfactory.
鹿岛手术，也称为内镜下激光声带切开术，用于治疗双侧外展性声带麻痹，使声门后部形成足够的间隙，让患者能够舒适呼吸且无喘鸣。
对12例双侧外展性声带麻痹患者进行了这项临床试验。所有患者均接受了鹿岛手术，并对术后的嗓音、呼吸和吞咽功能进行了评估。
75%的患者为女性，患者的平均年龄为40.9±9.13岁。在我们的患者中，双侧声带麻痹最常见的病因是甲状腺手术（n=10，83.33%）。术后呼吸有显著改善（P=0.001）。术后，70%的患者嗓音障碍评分轻度，91.6%的病例最大发声时间在正常范围内。
就喘鸣而言，鹿岛手术是治疗双侧声带麻痹的一种令人满意的手术方法。术后所有患者均未出现误吸，这些患者的嗓音结果也令人满意。
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