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单侧声带麻痹的治疗(附32例报告)

TREATMENT OF THE UNILATERAL VOCAL CORD PARALYSIS (A REPORT OF 32 CASES)

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【作者】 刘公汉孔勇刚马哲兰刘慧

【Author】 Liu Gonghan, Kong Yonggang,\ Ma Zhelan, et al Department of Otolaryngology, First Affiliated Hospital, Hubei Medical University, Wuhan,430060

【机构】 湖北医科大学附属第一医院耳鼻咽喉科

【摘要】 本文用药物和手术方法治疗了32例单侧声带麻痹。发现:6个月后大部分病例出现自身代偿,对未能代偿的病例进行手术治疗,行声带内移术6例,声带内注射术1例,神经肌蒂移植术2例,发音质量获得不同程度的改善。神经肌蒂移植术是治疗声带麻痹的理想办法。电起搏动态治疗单侧声带麻痹有待进一步研究。

【Abstract】 cases with unilateral vocal cord paralysis were treated with medicine and operation. We found automatic compensation recovered mechanism in most of the patients after six months. Patients of incompensation received surgical treatment. Medial move of vocal cord was carried out for six cases, injection of interior vocal cord for one case and muscle-neurotization for two cases. All patients obtained certain improvement in phonation quality. \ \ Muscle-neurotization is the ideal means for treating vocal cord paralysis. Electrical pacing for dynamic treatment of unilateral vocal cord paralysis needs further study.

【关键词】 声带治疗麻痹
【Key words】 Vocal cord\ Treatment\ Paralysis
  • 【文献出处】 中国耳鼻咽喉颅底外科杂志 ,CHINESE JOUNAL OF OTORHINOLARYNGOLOGY-SKULL BASE SURGERY , 编辑部邮箱 ,1996年04期
  • 【分类号】R767.4
  • 【下载频次】43
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