论文部分内容阅读
本文介绍三种最常见的与喉麻痹有关的病变,在内腔镜下进行手术,恢复通气,取得疗效。一、单侧内收肌麻痹注射聚四氟乙烯,由于注射量过多或注射位置不当,引起不同程度气道阻塞。11个病例中有2例曾经气管切开,通过内腔镜下手术都取得成功。多数病例表现为声带向内突出,或注射侧声带掩盖对侧,或两者兼有。治疗分两组:第1组对向内突出者采用显微烧灼即能恢复;第2组患者则需切开阻塞处,取出注入物以疏通气道。二、双侧声带外展麻痹外移法:手术切除接近声韧带部分的甲杓肌纤维,向下至弹力圆锥的内侧和甲状软骨的外侧。手术操作并不困难,创面缝合,使声带外移。缝线系用2支自颈部穿入声韧带上下的皮下针引入,在内腔镜内用鳄鱼钳
This article describes three of the most common laryngotracheal-related lesions under endoscopic surgery, restore ventilation, and achieved efficacy. First, unilateral adductor muscle paralysis Teflon injection, due to excessive injection volume or improper injection site, causing varying degrees of airway obstruction. Two of eleven cases had tracheotomy and were successfully treated by endoscopic surgery. In most cases, the vocal cord protrudes inwardly, or the contralateral vocal cord conceals the contralateral side, or both. The treatment was divided into two groups: the first group of inward protrusion of the use of micro-burning can be restored; the second group of patients need to open the obstruction, remove the infusion to clear the airway. Second, bilateral vocal cord outreach Paralysis shift method: Surgical resection of the acoustic ligament part of the ladle muscle fibers, down to the inside of the elastic cone and the lateral thyroid cartilage. Surgical operation is not difficult, the wound suture, the vocal emigration. Suture with 2 from the neck into the acoustic ligament up and down the introduction of the subcutaneous needle, endoscopic mirror with alligator