Surgical management of sulcus vocalis and vocal fold scarring
Surgical management of sulcus vocalis and vocal fold scarring
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DOI：
10.1016/j.otc.2005.10.012
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发表时间：
2006-02-01
影响因子：
1.7
通讯作者：
Ford, CN
中科院分区：
文献类型：
--
作者：
Dailey, SH;Ford, CN
虽然纤维组织是喉部和声带重要的支撑性结构，但无序的纤维增生症会引起收缩并干扰声带功能所必需的粘弹性。声带沟是声带瘢痕形成的一个特殊例子，它在功能恢复方面提出了同样的基本挑战。声带疤痕和声沟的共同特点是声门功能不全、呼吸音质和抵抗组织改变。已经设计了多种手术策略来帮助改善声带闭合和柔韧性。这些入路是开放的和内窥镜下的，概念性的直接或间接的，可能涉及也可能不涉及将组织直接植入声带覆盖物。对这些不同的外科技术提供了具体的评论。对今后的治疗途径进行了探讨。
Although fibrous tissue is an essential supportive structure in the larynx and vocal fold, disordered fibroplasia can cause contraction and disturb the viscoelastic properties that are essential for vocal fold function. Sulcus vocalis is a specific example of vocal fold scarring, and it presents the same essential challenge in restoration of function. Vocal fold scar and sulcus vocalis share glottic insufficiency, breathy voice quality, and resistance to tissue alteration as hallmarks. Multiple surgical strategies have been devised to help improve vocal fold closure and pliability. The approaches are open and endoscopic, conceptually direct or indirect, and may or may not involve direct tissue implantation to the vocal fold cover. Specific commentary is provided regarding these different surgical techniques. Future treatment pathways are explored.