部分杓状软骨切除术联合经口声带外移术治疗双侧声带固定继发气道梗阻
Partial arytenoidectomy with transoral vocal fold lateralisation in treating airway obstruction secondary to bilateral vocal fold immobility.
作者信息
Al Omari A, Atallah I, Castellanos Paul F
机构信息
Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Otolaryngology - Head and Neck Surgery Department, Grenoble Alpes University Hospital, France.
出版信息
J Laryngol Otol. 2023 Sep;137(9):997-1002. doi: 10.1017/S002221512100390X. Epub 2021 Nov 26.
OBJECTIVE
To report the outcome of 18 patients with a tracheostomy secondary to bilateral vocal fold immobility, who were managed using reconstructive transoral laser microsurgical techniques.
METHODS
A retrospective review was conducted of the surgical outcome of 18 patients with bilateral vocal fold immobility and a tracheostomy resulting from different aetiologies. Follow-up duration ranged from one to five years.
RESULTS
A total of 18 patients had a tracheostomy at presentation because of bilateral true vocal fold immobility and stridor. All cases were treated using reconstructive transoral laser microsurgery with arytenoidectomy and vocal fold lateralisation. All patients were successfully decannulated by eight weeks after surgery.
CONCLUSION
Reconstructive transoral laser microsurgery using partial arytenoidectomy with vocal fold lateralisation is minimally invasive, feasible, safe and effective for airway reconstruction in patients who present with stridor due to bilateral true vocal fold immobility.
目的
报告18例因双侧声带固定而需行气管切开术的患者的治疗结果，这些患者采用了重建经口激光显微外科技术进行治疗。
方法
对18例因不同病因导致双侧声带固定并需行气管切开术的患者的手术结果进行回顾性分析。随访时间为1至5年。
结果
共有18例患者因双侧真性声带固定和喘鸣而在就诊时行气管切开术。所有病例均采用重建经口激光显微手术，行杓状软骨切除术和声门旁正中移位术。所有患者在术后8周均成功拔管。
结论
对于因双侧真性声带固定而出现喘鸣的患者，采用部分杓状软骨切除术和声门旁正中移位术的重建经口激光显微手术具有微创、可行、安全且有效的气道重建效果。
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