両側反回神経麻痺における声門開大術後の呼吸機能について

概要

論文の詳細を見る
Five cases of bilateral recurrent nerve paralysis were surgically treated by laterofixation of the vocal fold, and the respiratory function was investigated pre- and post-operatively. The authors emphasized that the primary aim of laterofixation of the vocal fold for bilateral recurrent nerve paralysis is the restoration of the respiratory function through the natural airway, even if the postoperative phonatory function deteriorated. Based on this point of view, the authors attempted to secure the maximum lateralization of the vocal fold. Although the phonatory function was moderately impaired, it was tolerable for daily use. Because it was observed that the glottis narrowed by the adduction of the contralateral vocal fold during phonation. Especially when the mobility of the contralateral vocal fold remained, the glottal gap during phonation was negligible owing to the compensatory adduction.
耳鼻咽喉科臨床学会の論文