Nonomura M, Kojima H, Omori K, Kanaji M, Honjo I
Department of Otolaryngology, Faculty of Medicine, Kyoto University, Japan.
Arch Otolaryngol Head Neck Surg. 1993 Mar;119(3):343-6. doi: 10.1001/archotol.1993.01880150099014.
We have devised a new surgical method that sutures the cricothyroid (anticus) muscle to the paralyzed lateral cricoarytenoid (lateralis) muscle for the dynamic reconstruction of the larynx. Because this method achieved remobilization of the paralyzed vocal cord in dogs, we applied it to seven patients with unilateral recurrent laryngeal nerve paralysis (four patients had postsurgical paralysis and three patients had idiopathic paralysis). We obtained the following satisfactory results: (1) vocal cord tension and voice quality improved in all patients, and (2) in four patients, remobilization of the paralyzed vocal cord was obtained. We believe that this surgical method could serve as a new dynamic method of reconstruction for the treatment of unilateral recurrent laryngeal nerve paralysis.
我们设计了一种新的手术方法，即将环甲（前）肌缝合至麻痹的环杓侧肌（外侧肌），以动态重建喉部。由于该方法在犬类中实现了麻痹声带的重新活动，我们将其应用于7例单侧喉返神经麻痹患者（4例为术后麻痹，3例为特发性麻痹）。我们获得了以下满意结果：（1）所有患者的声带张力和嗓音质量均得到改善；（2）4例患者的麻痹声带实现了重新活动。我们认为，这种手术方法可作为治疗单侧喉返神经麻痹的一种新的动态重建方法。
