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[激光杓状软骨切除术治疗双侧声带麻痹]

[Laser aryntenoidectomy in bilateral vocal cord paralysis treatment].

作者信息

Szmeja Z, Wójtowicz J G

机构信息

Kliniki Otolaryngologii Katedry Chorób Ucha, Nosa, Gardła i Krtani Akademii Medycznej im. Karola Marcinkowskiego w Poznaniu.

出版信息

Otolaryngol Pol. 1993;47(3):221-6.

PMID:8414537
Abstract

The method of surgical treatment of bilateral vocal cord paralysis with the use of laser CO2 is presented. This technique was used in 20 patients. The vaporization and extirpation of arytenoid cartilage was performed together with resection of 1/3 of the posterior vocal cord which was removed. Analyzing other methods of treatment of bilateral vocal cord paralysis it was emphasized that with the use of the presented method good results in preserving breathing and phonation of the operated part was archived. It was also emphasized that the fast process of healing and lack of granulation in the operated field allows for the quick recovering patient. This method allows to obtain good wide larynx lumen without the necessity to perform tracheotomy--in 17 out of 20 our patients we could perform laser arytenoidectomy without tracheotomy.

摘要

介绍了使用二氧化碳激光治疗双侧声带麻痹的手术方法。该技术应用于20例患者。在切除1/3后声带的同时,进行杓状软骨的汽化和摘除。分析双侧声带麻痹的其他治疗方法时强调,采用本方法在保留手术部位呼吸和发声方面取得了良好效果。还强调手术区域愈合快且无肉芽形成,使患者能快速康复。该方法无需气管切开即可获得良好的宽喉腔——20例患者中有17例无需气管切开即可进行激光杓状软骨切除术。

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