May M, Beery Q
Laryngoscope. 1986 Nov;96(11):1196-200. doi: 10.1002/lary.1986.96.11.1196.
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.
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。