喉頭外傷-フレームワークの損傷に伴う輪状披裂関節の脱臼と固着
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概要
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An obvious result of the steadily increasing preference for motoring has been a higher incidence of traffic accidents. Accordingly, a greater number of cases presenting laryngeal trauma where the cricoid and/or thyroid cartilages have been fractured are being encountered. Moreover, these traumas sometimes indirectly result in injury of the arytenoid cartilages. We present here two cases of arytenoid injuries which were secondary to compression of the laryngeal framework and were cured by plastic surgery. The chief complaint in these cases was that of hoarseness. The causes were clarified during the operations to be dislocation of the cricoarytenoid joint in one case and fixation of the same joint in the other. While the operations appeared to be successful, repositioning of the cricoarytenoid joint did not hold permanently because hoarseness again became a problem even after as long as two years of good status. On the other hand, resection of the diseased vocal process was an adequate and simple method of approach in dealing with the fine movable joints.
- 耳鼻と臨床会の論文