Feinstein I, Szachowicz E, Hilger P, Stimson B
Ann Otol Rhinol Laryngol. 1987 Jan-Feb;96(1 Pt 1):56-7. doi: 10.1177/000348948709600113.
Dysphonia plica ventricularis involves the faulty participation of the ventricular folds in the act of phonation. The speech disorder was one of the first to be described with the use of indirect laryngoscopy. This dysphonia can occur as a compensation for anatomic or physiologic alterations within the larynx (vicarious type) or as isolated ventricular fold hypertrophy unaccompanied by other obvious laryngeal disorders (usurpative type). Conservative phoniatric therapy has been the primary modality of treatment for dysphonias resulting from ventricular fold hypertrophy, with surgical intervention being reserved for those patients not responding to speech therapy. We describe the successful use of the carbon dioxide laser in the excision of the hypertrophied false vocal cords in a patient who failed conservative management with speech therapy.
室带性发音障碍涉及室带在发声过程中的异常参与。这种言语障碍是最早通过间接喉镜检查描述的病症之一。这种发音障碍可能是作为对喉部解剖或生理改变的一种代偿(替代型)出现,也可能是孤立的室带肥大且无其他明显喉部疾病伴随(篡夺型)。保守的嗓音治疗一直是室带肥大所致发音障碍的主要治疗方式,手术干预则适用于那些对言语治疗无反应的患者。我们描述了在一名经言语治疗保守治疗失败的患者中成功使用二氧化碳激光切除肥厚假声带的情况。