Ortner's Syndrome and Endoluminal Treatment of a Thoracic Aortic Aneurysm
Ortner's Syndrome and Endoluminal Treatment of a Thoracic Aortic Aneurysm
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奥特纳综合征和胸主动脉瘤的腔内治疗
DOI：
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发表时间：
2006
影响因子：
0.9
通讯作者：
Rafael Fern·ndez Antûn
中科院分区：
文献类型：
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作者：
Josè F. Guijarro Escribano;J. Carnes;Miguel A. Brinquis Crespo;Rafael Fern·ndez Antûn
左喉返神经麻痹最早由Ortner于1897年在二尖瓣疾病患者中描述。然而，这种麻痹也归因于其他心血管疾病，如胸主动脉瘤。1971年，Parodi通过插入血管内假体引入了腔内技术，用于治疗血管动脉瘤。作者介绍了1例经喉镜证实的左喉返神经麻痹后急性发声困难的病例，该患者被诊断为囊状胸主动脉瘤并接受血管内假体治疗。没有必要对声带进行任何额外的外科手术，因为患者在语言治疗期间表现出足够的改善。3个月和6个月的随访检查表明没有任何吞咽或呼吸障碍。
Left recurrent laryngeal nerve paralysis was first described in 1897 by Ortner in a patient with mitral valve disease. However, this paralysis has also been attributed to other cardiovascular pathologies, such as thoracic aortic aneurysms. In 1971, Parodi introduced the endoluminal technique by inserting endovascular prostheses for the treatment of vascular aneurysms. The authors present a case of acute dysphonia following left recurrent laryngeal nerve paralysis, confirmed by laryngoscopy, in a patient who was diagnosed with a saccular thoracic aortic aneurysm and treated with endovascular prostheses. It was not necessary to perform any additional surgical procedures on the vocal folds because the patient showed sufficient improvement during speech therapy. Follow-up exams at 3 and 6 months demonstrated the lack of any swallowing or respiratory disorders.