Donnelly M, Browne J, Fitzpatrick G
Department of Anaesthesia, Meath-Adelaide-National Children's Hospital Group, Dublin, Ireland.
Can J Anaesth. 1995 Sep;42(9):813-5. doi: 10.1007/BF03011184.
The purpose of this report is to describe the anaesthetic considerations for layngoplastic procedures. Thyroplasty is a procedure which restores the voice in unilateral vocal cord paralysis. The procedure employs an external approach via a window cut at the appropriate level in the thyroid ala. A wedge of silastic is inserted against the inner perichondrium, thereby displacing the vocal cord medially and permitting voice production. Correct placement of the implant is assessed by asking the patient to phonate; patient cooperation is therefore necessary at certain times during the procedure. We describe our management of a patient undergoing thyroplasty. The use of a benzodiazepine agonist-antagonist combination provided both optimal operating conditions and patient comfort.
本报告旨在描述喉成形术的麻醉注意事项。喉成形术是一种用于恢复单侧声带麻痹患者声音的手术。该手术通过在甲状软骨翼合适水平切开一个窗口采用外部入路。将一块硅橡胶楔块插入软骨膜内侧，从而使声带向内移位并恢复发声。通过让患者发声来评估植入物的正确放置；因此在手术过程中的某些时候患者的配合是必要的。我们描述了我们对一名接受喉成形术患者的管理。使用苯二氮䓬类激动剂 - 拮抗剂组合提供了最佳的手术条件和患者舒适度。
