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喉狭窄的黏膜下声带切除术

Submucosal cordectomy for laryngeal stenosis.

作者信息

Smith R O, Rooks J J

出版信息

Otolaryngol Clin North Am. 1979 Nov;12(4):849-59.

PMID:542308
Abstract

Submucosal cordectomy, an old procedure first described for the treatment of bilateral abductor vocal cord paralysis, was used to relieve glottic or minimal subglottic stenosis in four patients. Three attained adequate airways with no further procedures; one required subsequent dilations for granulation tissue after which decannulation was successfully effected. Although airway restoration has been successful, the resultant voice has been poor, poorer than that usually achieved with arytenoidectomy. When cricoarytenoid scarring precludes arytenoidectomy and lateral vocal cord fixation, an adequate laryngeal lumen can be restored with submucosal cordectomy if sufficient laryngeal cartilage support remains.

摘要

黏膜下声带切除术是一种最初用于治疗双侧声带外展麻痹的古老手术,现用于缓解4例患者的声门或轻微声门下狭窄。3例患者气道通畅,无需进一步手术;1例患者术后因肉芽组织增生需要后续扩张,之后成功拔管。虽然气道恢复成功,但术后嗓音不佳,比通常行杓状软骨切除术的效果更差。当环杓关节瘢痕形成妨碍行杓状软骨切除术和声带外侧固定术时,如果仍有足够的喉软骨支撑,黏膜下声带切除术可恢复足够的喉腔。

相似文献

1
Submucosal cordectomy for laryngeal stenosis.喉狭窄的黏膜下声带切除术
Otolaryngol Clin North Am. 1979 Nov;12(4):849-59.
2
Submucosal arytenoidectomy: new surgical technique and review of the literature.黏膜下杓状软骨切除术:新手术技术及文献综述
J Otolaryngol. 2000 Feb;29(1):13-6.
3
[Endolaryngeal surgical procedures in glottis expansion in bilateral recurrent nerve paralysis].[双侧喉返神经麻痹时声门扩张的喉内外科手术]
Laryngorhinootologie. 1996 Apr;75(4):215-22. doi: 10.1055/s-2007-997565.
4
[CO2 laser cordectomy: analysis of morpho-functional results].[二氧化碳激光声带切除术:形态功能结果分析]
Acta Otorhinolaryngol Ital. 2000 Apr;20(2):106-20.
5
Laser-assisted endoscopic submucosal medial arytenoidectomy (LESMA).激光辅助内镜下杓状软骨内侧黏膜下切除术(LESMA)。
Laryngoscope. 2007 Sep;117(9):1611-4. doi: 10.1097/MLG.0b013e31806bf2e0.
6
Vocal cord mobilization by posterior laryngoplasty.
Laryngoscope. 1988 Aug;98(8 Pt 1):846-8. doi: 10.1288/00005537-198808000-00011.
7
Surgical treatment of laryngeal stenosis.
J Otolaryngol. 1976 Apr;5(2):131-7.
8
Bilateral vocal cord palsy: the alternative to tracheostomy.双侧声带麻痹:气管切开术的替代方案。
J Otolaryngol. 1992 Oct;21(5):364-5.
9
Acoustic analysis of voice quality with or without false vocal fold displacement after cordectomy.声带切除术后伴有或不伴有假声带移位情况下嗓音质量的声学分析。
J Voice. 2001 Mar;15(1):131-40. doi: 10.1016/S0892-1997(01)00013-3.
10
Surgical management of bilateral vocal cord paralysis.双侧声带麻痹的外科治疗
Laryngoscope. 1976 Apr;86(4):559-66. doi: 10.1288/00005537-197604000-00012.

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