Fernandes C M, Samuel J, Steinberg J L
J Laryngol Otol. 1987 May;101(5):471-4. doi: 10.1017/s0022215100102026.
The nerve-muscle pedicle graft was successfully used in six of the seven patients admitted with bilateral vocal cord palsy. The diagnostic evaluation included bilateral vocal cord palsy for more than six months; passive mobility test of the arytenoids under general anaesthesia; and exclusion of an organic lesion as a cause of the vocal cord paralysis. The post-operative assessment was done by indirect or direct laryngoscopy. An improvement in phonation and respiration was noted 4 to 10 weeks after the operation. An exertional test was performed. Identification of the origin of ansa cervicalis from the hypoglossal nerve facilitated the operation.
在收治的7例双侧声带麻痹患者中，有6例成功采用了神经-肌肉蒂移植术。诊断评估包括双侧声带麻痹超过6个月；全身麻醉下杓状软骨的被动活动度检查；以及排除导致声带麻痹的器质性病变。术后评估通过间接或直接喉镜检查进行。术后4至10周观察到发声和呼吸功能有所改善。进行了运动试验。确定颈袢从舌下神经的起源有助于手术操作。
