Vocal fold scarring: Current concepts and management
Vocal fold scarring: Current concepts and management
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DOI：
10.1016/s0194-5998(96)70087-6
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发表时间：
1996-11-01
影响因子：
3.4
通讯作者：
Woo, P
中科院分区：
文献类型：
--
作者：
Benninger, MS;Alessi, D;Woo, P
声带瘢痕形成可能是由于钝性喉外伤，或者更常见的是由于声带病变切除或切除后的手术、医源性损伤。瘢痕形成导致健康组织被纤维组织替代，并可明显改变声带福特功能，导致声带粘膜波减少或消失。声带瘢痕患者持续性发声障碍的评估和治疗对嗓音治疗团队提出了诊断和治疗方面的挑战。本文介绍了声带瘢痕形成的常见原因，强调了声带病变切除术中声带损伤的预防。解剖学和组织学的基础上，随后改变的声音产生和当代形式的临床和客观的评估将进行讨论。治疗方案将进行审查，包括非手术治疗和语音治疗，胶原注射，脂肪增加，内窥镜喉成形术，和硅胶内侧。
Scarring of the vocal folds can occur as the result of blunt laryngeal trauma or, more commonly, as the result of surgical, iatrogenic injury after excision or removal of vocal fold lesions. The scarring results in replacement of healthy tissue by fibrous tissue and can irrevocably alter vocal ford function and lead to a decreased or absent vocal fold mucosal wave. The assessment and treatment of persistent dysphonia in patients with vocal fold scarring presents both diagnostic and therapeutic challenges to the voice treatment team. The common causes of vocal fold scarring are described, and prevention of vocal fold injury during removal of vocal fold lesions is stressed. The anatomic and histologic basis for the subsequent alterations in voice production and contemporary modalities for clinical and objective assessment will be discussed. Treatment options will be reviewed, including nonsurgical treatment and voice therapy, collagen injection, fat augmentation, endoscopic laryngoplasty, and Silastic medialization.