Monday L A, Cornut G, Bouchayer M, Roch J B
Ann Otol Rhinol Laryngol. 1983 Mar-Apr;92(2 Pt 1):124-7. doi: 10.1177/000348948309200205.
Fifty-three cases of intracordal epidermoid cysts diagnosed, treated and followed from 1972 to 1981 are presented. In the clinical evaluation, special attention must be paid to the type of dysphonia and morphology of the vocal cords at indirect laryngoscopy. The epidermoid cyst is not easily visualized and the examiner must take into account signs like "monochorditis," slight bulging, unilateral nodule and diminished or abolished vibrations of one of the cords at stroboscopy. Microsurgical excision followed by voice therapy is the recommended treatment. The pathogenesis of these cysts is still speculative. Two theories are discussed: the traumatic theory and the dysembryoplastic theory.
本文报告了1972年至1981年间诊断、治疗及随访的53例声带内表皮样囊肿病例。在临床评估中,间接喉镜检查时必须特别注意发音障碍的类型和声带形态。表皮样囊肿不易被观察到,检查者在频闪喉镜检查时必须考虑到如“单声带炎”、轻微隆起、单侧结节以及一侧声带振动减弱或消失等体征。推荐的治疗方法是显微手术切除并辅以嗓音治疗。这些囊肿的发病机制仍属推测。文中讨论了两种理论:创伤理论和胚胎发育异常理论。