Intracordal Injection of Teflon® in the Treatment of 135 Patients with Dysphonia
Intracordal Injection of Teflon® in the Treatment of 135 Patients with Dysphonia
复制标题
绳内注射Teflon®治疗发音障碍135例
DOI：
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发表时间：
1973
期刊：
影响因子：
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通讯作者：
L. Lawson
中科院分区：
文献类型：
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作者：
H. Dedo;Robert D. Urrea;L. Lawson
麻痹性发音障碍的矫正主要是一个机械问题，需要将麻痹的声带移动到中线，以便功能正常的声带可以满足它并有效地关闭声门。Teflon®脊髓束内注射是目前的治疗选择。本文回顾了在过去五年中接受Teflon®声带注射的135例患者。81%的发声障碍患者恢复了正常的固体发声声音，96%的患者临床改善至少一个步骤。纯喉麻痹几乎总是改善，通常是一个正常的发声声音。虽然一些手术或钝性创伤后声音嘶哑的患者有所改善，但结果并不一致。大多数患者的误吸减少或消除，除非有太多的喉瘢痕，允许声带复位或除非多个颅神经或小脑缺陷。
The correction of paralytic dysphonia is primarily a mechanical problem requiring movement of the paralyzed vocal cord to the midline so that the functioning cord can meet it and effectively close the glottis. Intracordal Teflon® injection is now the treatment of choice. This paper reviews 135 patients who received Teflon® injections of the vocal cord during the last five years. Eighty-one percent of the patients with dysphonia recovered a normal solid phonatory voice and 96% were clinically improved at least one step. Pure laryngeal paralysis was virtually always improved, usually to a normal phonatory voice. Although some patients with hoarseness after surgical or blunt trauma were improved, the results were not as consistent. Aspiration was decreased or eliminated in the majority of patients unless there was too much laryngeal scarring to permit vocal cord repositionment or unless multiple cranial nerve or cerebellum deficits were present.