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超声引导下注射性喉成形术。

Injection laryngoplasty under ultrasonographic control.

机构信息

Department of Otolaryngology, Hospital Universitario del Henares, Av. Marie Curie, sn. 28822, Coslada, Madrid, Spain.

Department of Radiology, Hospital Universitario del Henares, Madrid, Spain.

出版信息

Eur Arch Otorhinolaryngol. 2021 Jun;278(6):2143-2146. doi: 10.1007/s00405-021-06666-z. Epub 2021 Mar 18.

DOI:10.1007/s00405-021-06666-z
PMID:33738568
Abstract

BACKGROUND

Cervical ultrasound allows real-time visualization of the laryngeal structures. We describe its application for injection laryngoplasty in the voice clinic.

METHODS

Hyaluronic acid infiltration of the vocal fold under ultrasonographic control.

CONCLUSIONS

With this technique, the position of the needle in the depth of the vocal fold and its spatial relations with nearby structures can be assessed. This allows for an accurate infiltration of the material in contrast to other techniques and avoids discomfort related to the gag reflex with nasofibrolaryngoscopy. No specific complications have been observed so far, however, this technique may be difficult in cases with calcified cartilages or uncooperative patients.

摘要

背景

颈椎超声可实时显示喉部结构。我们描述了其在嗓音诊所中用于注射式喉成形术的应用。

方法

在超声控制下对声带进行透明质酸浸润。

结论

通过该技术,可以评估针在声带深度中的位置及其与附近结构的空间关系。与其他技术相比,这可实现更准确的材料渗透,并避免纤维喉镜检查引起的咽反射不适。到目前为止,尚未观察到特定的并发症,但是,在存在软骨钙化或不配合的患者中,该技术可能较为困难。

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1
Injection laryngoplasty under ultrasonographic control.超声引导下注射性喉成形术。
Eur Arch Otorhinolaryngol. 2021 Jun;278(6):2143-2146. doi: 10.1007/s00405-021-06666-z. Epub 2021 Mar 18.
2
Hyaluronic Acid Injection Laryngoplasty for Unilateral Vocal Fold Paralysis-A Systematic Review and Meta-Analysis.透明质酸注射喉成形术治疗单侧声带麻痹:系统评价和荟萃分析。
Cells. 2020 Nov 5;9(11):2417. doi: 10.3390/cells9112417.
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Laryngoplasty with hyaluronic acid in patients with unilateral vocal fold paralysis.单侧声带麻痹患者的透明质酸喉成形术。
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Transcutaneous Laryngeal Ultrasound for Assessing Hyaluronic Acid Status in Patients Undergoing Injection Laryngoplasty.经皮喉超声评估注射隆颏术患者透明质酸状态。
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The 3D Printing of the Paralyzed Vocal Fold: Added Value in Injection Laryngoplasty.麻痹声带的3D打印:注射式喉成形术的附加价值
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Ultrasound-guided injection into the lateral crico-arytenoid muscle: a pilot study.超声引导下外侧环杓肌注射:一项初步研究。
Eur Arch Otorhinolaryngol. 2023 Jun;280(6):2877-2883. doi: 10.1007/s00405-023-07843-y. Epub 2023 Feb 11.
2
Management of Unilateral Vocal Fold Paralysis after Thyroid Surgery with Injection Laryngoplasty: State of Art Review.甲状腺手术后单侧声带麻痹的注射喉成形术治疗:现状综述
Front Surg. 2022 Apr 6;9:876228. doi: 10.3389/fsurg.2022.876228. eCollection 2022.
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Real-Time Light-Guided Vocal Fold Injection via the Cricothyroid Membrane in Unilateral Vocal Fold Paralysis: A Human Pilot Study.

本文引用的文献

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2
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Radiol Med. 1996 Mar;91(3):231-7.
经环甲膜实时光导引导下注射治疗单侧声带麻痹的人体初步研究
Clin Exp Otorhinolaryngol. 2022 Aug;15(3):264-272. doi: 10.21053/ceo.2021.02264. Epub 2022 Apr 8.