Montgomery W W, Montgomery S K
Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston 02114, USA.
Ann Otol Rhinol Laryngol Suppl. 1997 Sep;170:1-16.
A standardized system has been developed to treat unilateral vocal cord paralysis by medialization of the paralyzed cord. The Montgomery Thyroplasty Implant System consists of a medialization implant, measuring devices, and surgical instruments. The surgical instruments are used to locate, measure, and create a window in the thyroid lamina in which the implant is placed. The measuring devices are used to predetermine the correct implant size. There are five sizes for males (8 to 12 mm) and five for females (6 to 10 mm), with the size representing the distance of medialization. The implant consists of a firm, three-tiered base that locks the implant in the cartilage, and a soft, triangular top that serves to medialize the cord. The standardization of the base allows for revision or reversal at a later date without disturbing the window. The thyroplasty system and surgical procedures are described. Preliminary results of 176 patients who have undergone the Montgomery Thyroplasty Implant System procedure are presented.
已经开发出一种标准化系统，通过使麻痹声带内移来治疗单侧声带麻痹。蒙哥马利甲状软骨成形术植入系统由一个内移植入物、测量装置和手术器械组成。手术器械用于在甲状软骨板中定位、测量并开出一个用于放置植入物的窗口。测量装置用于预先确定正确的植入物尺寸。男性有五种尺寸（8至12毫米），女性有五种尺寸（6至10毫米），尺寸代表内移的距离。植入物由一个坚固的三层底座和一个柔软的三角形顶部组成，底座将植入物锁定在软骨中，顶部用于使声带内移。底座的标准化使得日后可以进行翻修或反转，而不会干扰窗口。文中描述了甲状软骨成形术系统和手术过程。还介绍了176例接受蒙哥马利甲状软骨成形术植入系统手术患者的初步结果。
