Gabriel P, Chilla R
HNO. 1976 Aug;24(8):280-2.
A case of postintubation laryngotracheal injury is described. The paramedian position of the vocal cords was found to be a consequence of cicatrix in the area of the posterior commissure, and by a luxation with ankylosis of the right cricoarytenoid joint. Paresis of the recurrent laryngeal nerve was excluded by electromyography. Multiple incisions of the cicatrix failed to correct the problem, whereas subsequent incision followed by intensive therapy with fludrocortisone and hyaluronidase was successful in management. In administering the medication, a new simplifed method for translaryngeal injection is described.
本文描述了一例气管插管后喉气管损伤的病例。发现声带旁正中位是后联合区瘢痕形成以及右环杓关节脱位伴关节强硬的结果。通过肌电图排除了喉返神经麻痹。对瘢痕进行多次切开未能解决问题,而随后切开并辅以氟氢可的松和透明质酸酶强化治疗则成功解决了该问题。在给药过程中,描述了一种经喉注射的新简化方法。