Urrutikoetxea Sarriegui A, Hernández Madorran J M, Sanjosé Torices J, Pérez Samitier E
Hospital Comarcal del Bidasoa, Servicio de O.R.L., Hondarribi, Guipuzcoa.
An Otorrinolaringol Ibero Am. 1993;20(6):629-58.
Management of unilateral recurrent palsies is under review since the late 5 years. Intracordal injection of Teflon has been the best option from the 70s onward. With the arrival of other substances the question about which of them offers the most confident results is open. Nowadays the reinnervation of the larynx either with nerves of the neighbourhood or neuromuscular pedicles takes a preferential place. A group of AA. are proposing the so called "laryngeal framework surgery", that is to say, the surgery done with elements surrounding the larynx, as elective treatment. This paper exposes the several techniques and its particularities in order to present a panoramic view of the therapeutical issues of recurrential unilateral paralysis.
近五年来一直在对单侧复发性麻痹的治疗方法进行重新评估。自20世纪70年代以来，声带内注射特氟龙一直是最佳选择。随着其他物质的出现，关于哪种物质能产生最可靠结果的问题尚无定论。如今，利用邻近神经或神经肌肉蒂对喉进行再支配已占据优先地位。一组作者提出了所谓的“喉框架手术”，也就是说，采用围绕喉部的结构进行手术，作为选择性治疗方法。本文阐述了几种技术及其特点，以便全面呈现单侧复发性麻痹的治疗问题。
