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本文引用的文献

1
[Experts consensus on diagnosis and treatment of vocal fold paralysis].[声带麻痹诊断与治疗专家共识]
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2021 Mar 7;56(3):198-209. doi: 10.3760/cma.j.cn115330-20200924-00765.
2
[The surgical effectiveness of montgomery thyroplasty implant on patients with unilateral vocal fold paralysis].[蒙哥马利甲状腺成形术植入物对单侧声带麻痹患者的手术疗效]
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Nov 7;55(11):1027-1031. doi: 10.3760/cma.j.cn115330-20200828-00705.
3
[Clinical analysis of selective laryngeal reinnervation using upper root of phrenic nerve and hypoglossal nerve branch in the treatment of bilateral vocal fold paralysis].[膈神经上根与舌下神经分支选择性喉再支配术治疗双侧声带麻痹的临床分析]
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2020 Nov 7;55(11):1016-1021. doi: 10.3760/cma.j.cn115330-20200526-00444.
4
Selective reinnervation using phrenic nerve and hypoglossal nerve for bilateral vocal fold paralysis.膈神经和舌下神经选择性再神经支配治疗双侧声带麻痹。
Laryngoscope. 2019 Nov;129(11):2669-2673. doi: 10.1002/lary.27768. Epub 2019 Feb 12.
5
[The efficacy of ansa cervicalis anterior root for unilateral recurrent laryngeal nerve injury].颈襻前根治疗单侧喉返神经损伤的疗效
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Sep 7;53(9):655-660. doi: 10.3760/cma.j.issn.1673-0860.2018.09.004.
6
Vocal fold paresis: Medical specialists' opinions on standard diagnostics and laryngeal findings.声带麻痹:医学专家对标准诊断和喉部检查结果的看法。
Eur Arch Otorhinolaryngol. 2018 Oct;275(10):2535-2540. doi: 10.1007/s00405-018-5102-5. Epub 2018 Aug 23.
7
The natural history of recoverable vocal fold paralysis: Implications for kinetics of reinnervation.可恢复性声带麻痹的自然病史:对神经再支配动力学的影响。
Laryngoscope. 2017 Nov;127(11):2585-2590. doi: 10.1002/lary.26734. Epub 2017 Jun 13.
8
[Treatment of bilateral vocal cord paralysis by hemi-phrenic nerve transfer].[半膈神经移位治疗双侧声带麻痹]
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Apr 7;52(4):245-252. doi: 10.3760/cma.j.issn.1673-0860.2017.04.002.
9
[The comparison of arytenoid resection surgical effect between endoscopic laser approach and external cervical approach for bilateral vocal cord fold paralysis].[内镜激光手术与颈部开放性手术治疗双侧声带麻痹的疗效比较]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2015 Jun;29(12):1059-63.
10
The effect of patient age on the success of laryngeal reinnervation.患者年龄对喉再支配手术成功率的影响。
Eur Arch Otorhinolaryngol. 2014 Dec;271(12):3241-7. doi: 10.1007/s00405-014-3091-6. Epub 2014 Jun 10.

[声带麻痹的诊断与治疗关键问题]

[The key problems of diagnosis and treatment of vocal cord paralysis].

作者信息

Zheng Hongliang, Li Meng, Chen Shicai

机构信息

Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Naval Medical University(Changhai Hospital),Shanghai,200433,China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Oct;38(10):891-896. doi: 10.13201/j.issn.2096-7993.2024.10.002.

DOI:10.13201/j.issn.2096-7993.2024.10.002
PMID:39390925
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11839567/
Abstract

Vocal cord paralysis is a common condition that significantly impairs laryngeal function and can even be life-threatening. Over nearly a century, researchers have conducted extensive animal and clinical studies to achieve accurate diagnosis and restore laryngeal function, making significant progress. Approaches have evolved from mechanically narrowing the glottis to restore phonation, to enlarging the glottis to relieve breathing difficulties, and ultimately to the development of surgical techniques aimed at restoring vocal cord mobility, significantly advancing the field. The publication of expert consensus guidelines on the diagnosis and treatment of vocal cord paralysis has standardized the principles and technical standards for managing this condition. However, a vast amount of related knowledge-including the disease's pathogenesis, diagnostic criteria, surgical principles, and techniques-still requires broader dissemination and further refinement. Advancing this knowledge will guide clinical practice and further enhance the diagnosis and treatment of this condition in China.

摘要

声带麻痹是一种常见病症,会严重损害喉部功能,甚至可能危及生命。近一个世纪以来,研究人员开展了广泛的动物和临床研究,以实现准确诊断并恢复喉部功能,取得了显著进展。治疗方法已从机械性地缩小声门以恢复发声,发展到扩大声门以缓解呼吸困难,最终发展为旨在恢复声带活动度的外科技术,极大地推动了该领域的发展。关于声带麻痹诊断和治疗的专家共识指南的发布,规范了处理这种病症的原则和技术标准。然而,大量相关知识,包括该病的发病机制、诊断标准、手术原则和技术,仍需要更广泛的传播和进一步完善。推进这些知识将指导临床实践,并进一步提高中国对这种病症的诊断和治疗水平。