McKennis A T, Waddington C
Methodist Hospital, Houston.
AORN J. 1994 Jul;60(1):38-42. doi: 10.1016/s0001-2092(07)69661-6.
Unilateral vocal cord paralysis may occur with trauma, neoplasms, mechanical or central nervous system dysfunction, or following extensive aortic and mediastinal vascular surgery or thyroidectomy. Thyroplasty type I is a form of laryngeal framework surgery (ie, phonosurgery) used to treat unilateral vocal cord paralysis. A silicone implant is placed inside a surgically created window in the thyroid cartilage and pushes the paralyzed cord medially, allowing the moving cord to touch the paralyzed cord and close the opening. The procedure is performed under monitored local anesthesia with sedation so the patient can phonate during the procedure. Airway compromise is the main complication associated with this procedure.
单侧声带麻痹可能由创伤、肿瘤、机械性或中枢神经系统功能障碍引起，或发生在广泛的主动脉和纵隔血管手术或甲状腺切除术后。I型甲状成形术是一种喉部框架手术（即嗓音外科手术），用于治疗单侧声带麻痹。将硅胶植入物放置在甲状软骨手术创建的窗口内，将麻痹的声带向内推，使活动的声带接触麻痹的声带并关闭开口。该手术在监测下的局部麻醉和镇静下进行，以便患者在手术过程中发声。气道受损是该手术的主要并发症。
