Schaefer S D, Close L G, Brown O E
Laryngoscope. 1986 Jun;96(6):656-9. doi: 10.1288/00005537-198606000-00012.
Stenosis of the posterior laryngeal commissure with arytenoid fixation following intubation trauma or laryngeal fracture poses a treatment dilemma. Over the past 2 1/2 years we have managed four patients with this problem by mobilization of the fixated cricoarytenoid joint, arytenoid-pharyngeal mucosal advancement flap, brief splinting of the arytenoids in the fully abducted position, and early speech therapy. As of this time, three of the four patients have been both decannulated and have achieved adequate to near normal voices. Most significantly, the previously fixated arytenoids are now mobile, confirming the efficacy of the principles presented herein.
插管创伤或喉部骨折后出现的喉后联合狭窄伴杓状软骨固定，给治疗带来了难题。在过去的两年半时间里，我们通过活动固定的环杓关节、杓咽黏膜推进皮瓣、将杓状软骨在完全外展位短暂固定以及早期言语治疗，成功治疗了4例患有此问题的患者。截至目前，4例患者中有3例已拔除气管套管，且声音恢复到足够接近正常的水平。最重要的是，先前固定的杓状软骨现在可以活动了，证实了本文所述原则的有效性。
