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肌肉-神经蒂喉再支配术

Muscle-nerve pedicle laryngeal reinnervation.

作者信息

May M, Beery Q

出版信息

Laryngoscope. 1986 Nov;96(11):1196-200. doi: 10.1002/lary.1986.96.11.1196.

DOI:10.1002/lary.1986.96.11.1196
PMID:3773616
Abstract

A muscle-nerve pedicle implantation to the lateral cricoarytenoid muscle as described by Tucker is an alternative to Teflon injection for treating dysphonia due to vocal cord palsy. Improvement in voice was noted in 19 of the 20 (95%) selected patients who were treated by muscle-nerve pedicle reinnervation. These patients have been followed for 6 months to 10 years. Changes in the voice were documented through assessment of high-quality audio tape recordings by three speech pathologists, results of a patient questionnaire, and evaluation by the surgeon. The improvement in voice quality was attributed to reestablishment and maintenance of vocal cord tone and mass, without the vocal cord stiffness usually associated with Teflon injection. The improvements in quality of voice with pedicle implantation are natural and lasting. This technique is proposed as an alternative to Teflon injection in selected cases.

摘要

如塔克所描述的,将肌肉 - 神经蒂植入环杓侧肌是一种替代特氟龙注射治疗声带麻痹所致发音障碍的方法。在接受肌肉 - 神经蒂再支配治疗的20例选定患者中,有19例(95%)声音得到改善。这些患者已随访6个月至10年。通过3名言语病理学家对高质量录音带的评估、患者问卷结果以及外科医生的评估来记录声音变化。声音质量的改善归因于声带张力和质量的重建与维持,且没有通常与特氟龙注射相关的声带僵硬。蒂植入术带来的声音质量改善是自然且持久的。在选定病例中,建议采用这种技术替代特氟龙注射。

相似文献

1
Muscle-nerve pedicle laryngeal reinnervation.肌肉-神经蒂喉再支配术
Laryngoscope. 1986 Nov;96(11):1196-200. doi: 10.1002/lary.1986.96.11.1196.
2
Rehabilitation of the crippled larynx: application of the Tucker technique for muscle-nerve reinnervation.
Laryngoscope. 1980 Jan;90(1):1-18. doi: 10.1288/00005537-198001000-00001.
3
Laryngeal reinnervation for unilateral vocal cord paralysis: long-term results.
Ann Otol Rhinol Laryngol. 1981 Sep-Oct;90(5 Pt 1):457-9. doi: 10.1177/000348948109000508.
4
Combined surgical medialization and nerve-muscle pedicle reinnervation for unilateral vocal fold paralysis: improved functional results and prevention of long-term deterioration of voice.
J Voice. 1997 Dec;11(4):474-8. doi: 10.1016/s0892-1997(97)80045-8.
5
Electromyographic findings in recurrent laryngeal nerve reinnervation.喉返神经再支配的肌电图表现
Ann Otol Rhinol Laryngol. 2003 Apr;112(4):314-23. doi: 10.1177/000348940311200405.
6
Experience with laryngeal reinnervation using nerve-muscle pedicle in pediatric patients.应用带蒂神经-肌蒂喉返神经再支配术治疗小儿声带麻痹的经验
Int J Pediatr Otorhinolaryngol. 2020 Nov;138:110254. doi: 10.1016/j.ijporl.2020.110254. Epub 2020 Jul 13.
7
Laryngeal reinnervation for bilateral vocal fold paralysis.双侧声带麻痹的喉再支配术
Curr Opin Otolaryngol Head Neck Surg. 2011 Dec;19(6):434-8. doi: 10.1097/MOO.0b013e32834c7d30.
8
[Reinnervation of the posterior cricoarytenoid muscle by the phrenic nerve for bilateral vocal cord paralysis in humans].[膈神经对人双侧声带麻痹患者环杓后肌的再支配作用]
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2002 Jun;37(3):210-4.
9
Reinnervation of the paralyzed larynx: a review.麻痹性喉的再支配:综述
Head Neck Surg. 1979 Jan-Feb;1(3):235-42. doi: 10.1002/hed.2890010307.
10
Newer technique of laryngeal reinnervation: superior laryngeal nerve (motor branch) as a driver of the posterior cricoarytenoid muscle.喉再支配新技术:以喉上神经(运动支)作为环杓后肌的驱动神经
Ann Otol Rhinol Laryngol. 1989 Nov;98(11):907-9. doi: 10.1177/000348948909801113.

引用本文的文献

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Long-term vocal outcomes of refined nerve-muscle pedicle flap implantation combined with arytenoid adduction.改良神经肌肉蒂瓣植入联合杓状软骨内收术的长期嗓音疗效
Eur Arch Otorhinolaryngol. 2015 Mar;272(3):681-8. doi: 10.1007/s00405-014-3418-3. Epub 2014 Dec 11.