Rontal E, Rontal M, Morse G, Brown E M
Laryngoscope. 1976 May;86(5):625-34. doi: 10.1288/00005537-197605000-00002.
The problem of maintenance of proper tracheobronchial toilet is frequently a determining factor in the morbidity and mortality of patients with vocal cord paralysis. Aspiration from an incompetent glottis can cause pneumonitis and its attendant complications. Standard management of tracheobronchial toilet in patients with vocal cord paralysis has involved direct or indirect suctioning of the trachea; however, only the symptoms and not the anatomic defect are treated by these measures. Largely due to the work of Arnold and Lewy, the technique of vocal cord injection has been advocated as a method of correcting the anatomic deficiencies in patients with vocal cord paralysis, and has been advocated in the past to prevent recurrent and chronic aspiration. This study has shown that vocal cord injection increases the ability to maintain maximum peak intraluminal air pressures following injection. It has also shown that there is an increased ability to maintain air flow by glottic closure following injection. Eleven patients were studied, each of whom has been evaluated separately in this paper. The use of vocal cord injection should be more widely used by otolaryngologists and chest disease specialists for treatment of physiologic problems as well as correcting vocal disturbances.
保持气管支气管恰当清洁的问题常常是声带麻痹患者发病率和死亡率的决定因素。声门功能不全导致的误吸可引起肺炎及其相关并发症。声带麻痹患者气管支气管清洁的标准管理方法包括直接或间接抽吸气管；然而，这些措施仅治疗了症状而非解剖缺陷。很大程度上由于阿诺德（Arnold）和卢伊（Lewy）的工作，声带注射技术已被提倡作为一种纠正声带麻痹患者解剖缺陷的方法，并且过去一直被提倡用于预防反复和慢性误吸。这项研究表明，声带注射可提高注射后维持最大腔内峰值气压的能力。研究还表明，注射后通过声门关闭维持气流的能力有所增强。本研究共纳入11例患者，本文对每例患者均进行了单独评估。耳鼻喉科医生和胸部疾病专家应更广泛地使用声带注射来治疗生理问题以及纠正声音障碍。
