Ossoff R H, Karlan M S, Sisson G A
Lasers Surg Med. 1983;2(4):293-9. doi: 10.1002/lsm.1900020402.
Most patients with bilateral vocal cord paralysis have a fairly satisfactory voice, but their airway is usually inadequate for day-to-day exertion. In some patients, the airway may be inadequate for even quiet respiration and an indwelling tracheotomy is required. Solution to this problem has involved the following techniques: tracheotomy, lateralization of the vocal cord by either endoscopic or external routes, or vocal cord reinnervation by the nerve-muscle transposition technique. Endoscopic laser arytenoidectomy has been mentioned in the literature. However, the actual technique as well as the attendant morbidity associated with this procedure has not been highlighted. Four patients with bilateral vocal cord paralysis of the larynx have been treated by endoscopic laser arytenoidectomy at Northwestern University Medical School. The technique, problems, and results are discussed.
大多数双侧声带麻痹患者的嗓音状况相当令人满意，但他们的气道通常无法满足日常活动的需求。在一些患者中，气道甚至可能无法满足安静呼吸的需要，因此需要进行永久性气管切开术。解决这一问题的方法包括以下技术：气管切开术、通过内镜或外部途径使声带外移，或通过神经肌肉移位技术使声带重新获得神经支配。文献中曾提及内镜下激光杓状软骨切除术。然而，该手术的实际操作技术以及相关的发病率尚未得到重点阐述。西北大学医学院对4例双侧喉返神经麻痹患者实施了内镜下激光杓状软骨切除术。本文将对该技术、存在的问题及结果进行讨论。
