Ramadan H H
Department of Otolaryngology, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, USA.
W V Med J. 1996 Sep-Oct;92(5):268-70.
Medialization laryngoplasty has emerged in the last decade as an alternative to teflon injection for the treatment of vocal cord paralysis. The advantages of laryngoplasty include the reversibility of the procedure, the ease with which it is performed, and in experienced hands, excellent voice results. This article describes a study of 29 patients at West Virginia University Hospitals from 1990 to 1994 who underwent medialization laryngoplasty. Of these patients, 24 had good or excellent results, including one patient who required a revision. All patients with aspiration or choking had marked improvement in swallowing, choking, or aspiration. One patient required intubation for 24 hours, and none of the prostheses have extruded. We conclude that medialization laryngoplasty is an easier procedure than teflon injection, and that it preserves the vocal cord mucosal wave.
在过去十年中，喉内移术已成为治疗声带麻痹的一种替代聚四氟乙烯注射的方法。喉成形术的优点包括手术的可逆性、操作的简便性，并且在经验丰富的医生手中，能取得出色的嗓音效果。本文描述了1990年至1994年在西弗吉尼亚大学医院对29例行喉内移术患者的一项研究。在这些患者中，24例取得了良好或优异的效果，其中包括1例需要进行翻修手术的患者。所有有误吸或呛噎的患者在吞咽、呛噎或误吸方面都有显著改善。1例患者需要插管24小时，且没有一个假体发生脱出。我们得出结论，喉内移术比聚四氟乙烯注射术操作更简便，并且能保留声带黏膜波。
