Intracordal injection technique: materials and injection site.
Intracordal injection technique: materials and injection site.
复制标题
绳内注射技术：材料和注射部位。
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
Y. Tabata
中科院分区：
文献类型：
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作者：
E. Tamura;H. Fukuda;Y. Tabata
目的
各种材料已用于声带内注射以治疗声门闭合缺陷。然而，特定的注射部位和材料对于各种条件是期望的。在这里，我们回顾了注射部位和材料。
方法
通过考虑到日本目前使用的注射材料的特点以及声带的正常结构，我们确定了适合不同类型疾病的注射材料和部位。
结果
商业上获得的用于注射的胶原主要由I型胶原组成，自体筋膜也是如此。当这种材料被注入到声带粘膜固有层的浅层时，发声期间粘膜的波动被扰乱。因此，该材料应更深地注射到固有层中。胶原注射的适应症包括单侧喉返神经麻痹。即使当注射到固有层中时，脂肪组织也不干扰粘膜波运动，并且可用于治疗声带萎缩或声带沟。
结论
声带内注射用于声带康复时，应根据声门功能障碍的原因选择材料和部位。
OBJECTIVE
Various materials have been used for intracordal injection to treat deficiencies in glottal closure. However, specific injection sites and materials are desirable for various conditions. Here, we reviewed injection sites and materials.
METHODS
By considering the characteristics of injection materials used in Japan to date as well as the normal structure of the vocal cord, we have determined injection materials and sites suitable for different type of disease.
RESULTS
Collagen obtained commercially for injection consists mainly of type I collagen, as does autologous fascia. When this material is injected into the superficial layer of the lamina propria mucosae of the vocal cord, the wave motion of the mucosa during phonation is disturbed. This material therefore should be injected deeper into the lamina propria. Indications for collagen injection include unilateral recurrent laryngeal nerve paralysis. Even when injected into the lamina propria, fat tissue does not disturb mucosal wave motion, and is useful for treating vocal cord atrophy or sulcus vocalis.
CONCLUSION
When intracordal injection is used in vocal rehabilitation, material and site should be selected, based on the cause of glottal dysfunction.