Montgomery W W, Smith S A
Ann Otol Rhinol Laryngol. 1976 Jul-Aug;85(4 Pt 1):491-7. doi: 10.1177/000348947608500409.
Two types of congenital laryngeal defects in the adult are presented. The first case is a patient with a laryngeal cleft who became symptomatic at 42 years of age. Dysphagia, dyspnea, hoarseness and aspiration progressed in severity until surgery was necessary at the age of 48 years. The second case presented is a 21-year-old male with nonfusion of the thyroid laminae. He was asymptomatic except for persistence of a high-pitched voice after puberty. The case histories and radiographic studies are reviewed, emphasizing that the diagnosis of these defects was more difficult than their management. The surgical repair is described and illustrated. Briefly, this involved repair of the laryngeal cleft using techniques similar to those of a hernoiorrhaphy. The nonfusion of the thyroid laminae and resultant defective anterior glottis was repaired using bipedicled muscle flaps and a silicone keel.
本文介绍了成人先天性喉畸形的两种类型。第一例是一名患有喉裂的患者，42岁时出现症状。吞咽困难、呼吸困难、声音嘶哑和误吸症状逐渐加重，直至48岁时需要进行手术。第二例是一名21岁男性，甲状腺板未融合。除青春期后持续高音调外，他没有任何症状。本文回顾了病例史和影像学研究，强调这些畸形的诊断比治疗更困难。文中描述并展示了手术修复方法。简而言之，修复喉裂采用了类似于疝修补术的技术。甲状腺板未融合及由此导致的前声门缺损采用双蒂肌瓣和硅胶支架进行修复。
