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一名特发性左声带麻痹患者在声带注射聚四氟乙烯治疗后出现环状软骨前肿胀。

A precricoid swelling in a patient treated with Teflon injection in the vocal fold after idiopathic left vocal fold palsy.

作者信息

Jol J A, Seedat R Y, Skinner D W

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Royal Shrewsbury Hospitals NHS Trust, UK.

出版信息

J Laryngol Otol. 1998 Sep;112(9):878-9. doi: 10.1017/s0022215100141957.

DOI:10.1017/s0022215100141957
PMID:9876383
Abstract

Vocal fold palsy is a cause of dysphonia. Due to incomplete glottic closure during phonation, patients with a unilateral vocal fold palsy present with a weak and breathy voice and recurrent aspiration. To lessen the clinical manifestations of unilateral vocal fold palsy, polytetrafluoroethylene (Teflon) paste is one agent which has been injected into the paraglottic region, thus causing the vocal fold to move more medially. One of the complications associated with Teflon paste injection is migration of the paste into the surrounding tissues. We present a patient with idiopathic left vocal fold palsy who underwent Teflon injection to the vocal fold and subsequently developed a precricoid nodule, mimicking a cartilaginous swelling.

摘要

声带麻痹是声音嘶哑的一个原因。由于发声时声门闭合不全,单侧声带麻痹患者表现为声音微弱、带呼吸声以及反复误吸。为减轻单侧声带麻痹的临床表现,聚四氟乙烯(特氟龙)糊剂是一种已被注入声门旁区域的药物,从而使声带更向内侧移动。与特氟龙糊剂注射相关的并发症之一是糊剂向周围组织迁移。我们报告一例特发性左侧声带麻痹患者,其接受了声带特氟龙注射,随后出现环状软骨前结节,酷似软骨肿胀。

相似文献

1
A precricoid swelling in a patient treated with Teflon injection in the vocal fold after idiopathic left vocal fold palsy.一名特发性左声带麻痹患者在声带注射聚四氟乙烯治疗后出现环状软骨前肿胀。
J Laryngol Otol. 1998 Sep;112(9):878-9. doi: 10.1017/s0022215100141957.
2
Injection and removal of Teflon for unilateral vocal cord paralysis.
Ann Otol Rhinol Laryngol. 1992 Jan;101(1):81-6. doi: 10.1177/000348949210100118.
3
Nerve transfer versus Teflon injection for vocal cord paralysis: a comparison.
Laryngoscope. 1988 Nov;98(11):1200-4. doi: 10.1288/00005537-198811000-00010.
4
Teflon paste injection into the paralytic vocal fold. A simple procedure to improve disturbed cough function.
Scand J Respir Dis. 1977 Aug;58(4):197-204.
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Experiences with teflon injections in unilateral adductor vocal cord paralysis.单侧内收性声带麻痹的聚四氟乙烯注射经验。
Med J Malaysia. 1990 Sep;45(3):239-43.
6
Teflon granuloma of the larynx: etiology, pathophysiology, and management.喉的聚四氟乙烯肉芽肿:病因、病理生理学及治疗
Ann Otol Rhinol Laryngol. 1995 Jul;104(7):511-5. doi: 10.1177/000348949510400702.
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Transcutaneous Teflon injection for vocal cord paralysis.经皮聚四氟乙烯注射治疗声带麻痹。
Otolaryngol Head Neck Surg. 1993 Jul;109(1):54-9. doi: 10.1177/019459989310900110.
8
Teflon paste implant in unilateral vocal cord paralysis: CT characteristics.
J Comput Assist Tomogr. 1987 Jul-Aug;11(4):624-6. doi: 10.1097/00004728-198707000-00014.
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How we do it: use of a venous cannulation needle for endoscopic Teflon injection to the vocal folds.
J Laryngol Otol. 1995 Dec;109(12):1184-5. doi: 10.1017/s0022215100132384.
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Cordectomy: a solution to Teflon granuloma of the vocal fold.声带切除术:声带聚四氟乙烯肉芽肿的一种解决方案。
J Laryngol Otol. 1995 Jan;109(1):53-5. doi: 10.1017/s0022215100129226.

引用本文的文献

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Teflon-induced granuloma: a false-positive finding with PET resolved with combined PET and CT.聚四氟乙烯诱导的肉芽肿:PET检查的假阳性结果,通过PET与CT联合检查得以解决。
AJNR Am J Neuroradiol. 2003 Jun-Jul;24(6):1164-6.