Tips and Pitfalls of Type I Thyroplasty
Tips and Pitfalls of Type I Thyroplasty
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I 型甲状腺成形术的技巧和陷阱
DOI：
10.5426/larynx.23.82
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
T. Umezaki
中科院分区：
文献类型：
--
作者：
T. Umezaki
I型甲状腺成形术是单侧声带麻痹最常用的手术治疗方法之一。我们回顾了207例使用硅块的原始和改良I型甲状腺成形术。在I型甲状腺成形术中，最重要的是在甲状软骨开窗时避免损伤内软骨膜，以获得适当的声带接触，获得良好的发声效果。然而，对于老年人，我们发现了一个陷阱，即软骨骨化会增加损伤软骨膜的风险。
Type I thyroplasty is well-established and one of the most popular surgical treatment for unilateral vocal fold palsy. We reviewed 207 cases of original and modified type I thyroplasty using a silicon block. As with all surgical procedures in type I thyroplasty, it is most important to avoid damaging the inner perichondrium during fenestration of the thyroid cartilage in order to obtain appropriate contact of vocal folds and have a good outcome of voice. With the elderly, however, we have found a pitfall in that the ossification of the cartilage presents an increased risk of damaging the perichondrium.