Isshiki N, Shoji K, Kojima H, Hirano S
Isshiki Clinic, Kyoto, Japan.
Ann Otol Rhinol Laryngol. 1996 Mar;105(3):182-8. doi: 10.1177/000348949610500303.
The effectiveness of surgical treatment for vocal fold atrophy of various causes was examined. Type I thyroplasty was performed on 31 patients with vocal fold atrophy, often bilaterally and occasionally combined with type III thyroplasty. Of these 31 patients, 3 patients underwent the operation twice, for a total of 34 operations. The surgery was found to be effective in improving the voice quality and the ease of phonation. When a scar or sulcus was present, the results were not as satisfactory. The intraoperative decision-making process as to which procedure to perform is extremely important for achieving an optimal voice, and should be based on the intraoperative voice quality, fiberoptic findings, and manual tests. In operations for vocal fold atrophy in which the vocal folds are mobile, a silicone shim should be firmly fixed to prevent migration. Overcorrection is generally recommended. No complications were encountered. It was often the increased ease of phonation rather than the improved voice quality that patients appreciated after surgery.
研究了各种病因所致声带萎缩的手术治疗效果。对31例声带萎缩患者施行Ⅰ型甲状成形术，常为双侧手术，偶尔联合Ⅲ型甲状成形术。这31例患者中，3例接受了二次手术，共进行了34次手术。结果发现该手术在改善嗓音质量和发声 ease方面有效。当存在瘢痕或沟时，结果不太令人满意。术中关于施行何种手术的决策过程对于获得最佳嗓音极为重要，应基于术中嗓音质量、纤维喉镜检查结果和手动测试。在声带可活动的声带萎缩手术中，应牢固固定硅胶垫片以防止移位。一般建议过度矫正。未遇到并发症。患者术后通常更看重发声 ease的增加而非嗓音质量的改善。 （注：原文中“ease of phonation”直译为“发声的容易程度”，这里意译为“发声 ease”，使译文更通顺自然）
