Peppard S B
Laryngoscope. 1982 Jan;92(1):31-4. doi: 10.1288/00005537-198201000-00007.
Blunt trauma to the larynx, as a source of vocal paralysis, has become an important consideration for the laryngologist. Direct neurologic injury from strangulation by hand is explored with presentation of 4 patients. Three of these had unilateral paralysis; the fourth had bilateral paralysis on two separate occasions of strangulation. All patients recovered in 4 to 20 days. Correlation is made with other acute nerve compression syndromes, and the pathophysiology discussed in light of experimental evidence. Awareness and recognition of this problem in evaluation and treatment of strangulation assault injuries is stressed.
作为声带麻痹的一个原因，喉部钝挫伤已成为喉科医生需要重点考虑的问题。本文通过4例患者的病例展示，探讨了因手掐勒导致的直接神经损伤。其中3例患者为单侧麻痹；第4例患者在两次不同的掐勒事件后均出现双侧麻痹。所有患者均在4至20天内康复。本文将其与其他急性神经压迫综合征进行了关联，并根据实验证据对病理生理学进行了讨论。强调了在评估和治疗掐勒攻击伤时对该问题的认识和识别。
