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人类喉再支配:神经-肌肉蒂技术的长期经验

Human laryngeal reinnervation: long-term experience with the nerve-muscle pedicle technique.

作者信息

Tucker H M

出版信息

Laryngoscope. 1978 Apr;88(4):598-604. doi: 10.1002/lary.1978.88.4.598.

DOI:10.1002/lary.1978.88.4.598
PMID:642658
Abstract

The nerve-muscle pedicle technique for reinnervation of bilateral vocal cord paralysis has now been applied in 45 cases over the past four years. EMG studies, volume flow loop, pulmonary function studies, and the ability to extubate the patient with good to excellent exercise tolerance for day-to-day activity have been used as parameters to judge success or failure of this procedure. To date there has been a primary success rate of 91.1% (41/45) and a long-term success rate of 88.8% (40/45). There has been one serious complication in the entire series and no significant morbidity other than this. Age of the patient and length of paralysis are not necessarily contraindications to the procedure. These results suggest that the nerve-muscle pedicle technique may be successfully used for reinnervation of bilaterally paralyzed vocal cords without sacrificing residual voice, as is the case with arytenoidectomy type procedures.

摘要

在过去四年中,神经肌肉蒂技术已应用于45例双侧声带麻痹的再支配手术。肌电图研究、容积流量环、肺功能研究以及患者在日常活动中具有良好至极佳运动耐力时拔除气管插管的能力,已被用作判断该手术成败的参数。迄今为止,该手术的初步成功率为91.1%(41/45),长期成功率为88.8%(40/45)。整个系列中出现了1例严重并发症,除此之外无明显发病率。患者年龄和麻痹时间不一定是该手术的禁忌证。这些结果表明,神经肌肉蒂技术可成功用于双侧麻痹声带的再支配,而不像杓状软骨切除术那样牺牲残留嗓音。

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