Langnickel R
Laryngol Rhinol Otol (Stuttg). 1982 May;61(5):254-7.
12 years' experience with a modification of Thornell's technique, modified by Langnickel-Koburg. We operated 146 patients with bilateral vocal cord paralysis during the past 12 years (1969-1981). Objective confirmation of the improved glottic function was obtained by spirometry, body plethysmography, sonography and laryngography. All the patients were decannulated. A substantial improvement in breathing with a virtually unchanged voice was achieved in 145 cases. The good functional results are attributed to the fact that the vocal cord substance is retained and that a functionally active vocal cord is achieved. A narrow larynx requires the larger area of resection of false cord. The resected area depends upon the width of the larynx.
采用经朗尼克-科堡改良的托内尔技术已有12年经验。在过去12年（1969 - 1981年）里，我们为146例双侧声带麻痹患者实施了手术。通过肺活量测定、体容积描记法、超声检查和喉造影术对声门功能改善进行了客观确认。所有患者均拔除了气管套管。145例患者呼吸得到显著改善，嗓音基本未变。良好的功能结果归因于保留了声带组织并形成了功能活跃的声带。喉腔狭窄时需要更大面积切除假声带。切除面积取决于喉腔的宽度。
