Chevalier D, Fayoux P, Decorte D, Delporte N, Piquet J J
Service d'ORL, Hôpital Huriez, Lille.
Ann Otolaryngol Chir Cervicofac. 1997;114(5):191-5.
From August 1995 to January 1997 8 phonosurgical procedures were performed to correct glottal incompetence. There were 4 men and 4 women, the median age was 42 years. The most common indication for thyroplasty was recurrent or vagal nerve injury (6/8 cases). In 7 cases the paralyzed vocal cord was unilateral and in 1 case bilateral after oesophagectomy. Two patients were previously treated by endoscopic injection without success. The procedure was conducted under general anaesthesia. A window in the thyroid ala was created and silastic implant inserted. This technique was indicated to correct large glottal incompetence or in case of failure after endoscopic treatment. There have been no complications. Improvement of post operative voice was noted. The maximum phonation duration, intensity and objective voice measurements were improved in all cases.
1995年8月至1997年1月，进行了8例声外科手术以纠正声门闭合不全。其中男性4例，女性4例，年龄中位数为42岁。甲状腺成形术最常见的指征是喉返神经损伤或迷走神经损伤（6/8例）。7例患者的麻痹声带为单侧，1例患者在食管切除术后双侧声带麻痹。2例患者此前接受过内镜注射治疗但未成功。手术在全身麻醉下进行。在甲状软骨翼上开一个窗口，插入硅橡胶植入物。该技术适用于纠正严重的声门闭合不全或内镜治疗失败的情况。未出现并发症。术后声音有改善。所有病例的最大发声时长、强度和客观声音测量指标均有所改善。
