흡인을 동반한 일측성 성대마비 환자에서 일시적 성대주입술의 역할

장현; 안영진; 임윤성; 하정훈; 성명훈; 김광현; 권택균

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자료유형: 학술저널

저자정보: 장현 안영진 임윤성 하정훈 성명훈 김광현 권택균

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제52권 제3호

발행연도: 2009.1

수록면: 237 - 241 (5page)

이용수

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연구주제

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연구배경

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연구방법

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연구결과

이 논문의 연구 히스토리 (2)

2009

흡인을 동반한 일측성 성대마비 환자에서 일시적 성대주입술의 역할

장현 , 안영진 , 임윤성 외 4명 대한이비인후-두경부외과학회지 2009.01 학술저널

2008

흉부외과 수술 후 발생한 일측성 성대마비 환자에서 성대주입의 유용성 : 경구식이의 관점에서

장현 , 안영진 , 하정훈 외 3명 대한음성언어의학회 학술대회 2008.01 학술대회자료

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Background and Objectives：We evaluated the role of temporary injection laryngoplasty in patients with unilateral vocal fold paralysis (UVFP) after cardiothoracic surgeries. Subjects and Method：Taking the introduction of injection laryngoplasty as a milestone, we divided patients into those who underwent cardiothoracic surgery with UVFP during the years 2001-2004, before the introduction of injection laryngoplasty as pre-injection group (n=83) and those who underwent after the introduction during the years 2000-2007 as post-injection group (n=103). Of the post injection group, patients who received injection laryngoplasty postoperatively before being discharged were defined as injection group (n=37). Patients were also divided into non-esophageal surgery group and esophageal surgery group. Clinical outcomes including the length of hospital stay and oral feeding initiation time were compared between the pre-injection group and the injection group within the same operation group. The degrees of aspiration were classified into 4 grades. Results：In the non-esophageal surgery group, the injection group with aspiration grade III had shorter hospital stay and oral feeding initiation time after extubation compared to the pre-injection group with grade III aspiration (p=0.042). However, in the esophageal surgery group, there was no statistical difference between the pre-injection and injection groups. Conclusion：Temporary injection laryngoplasty can reduce the hospital stay and enhance oral feeding initiation in patients with aspiration due to UVFP after non-esophageal cardiothoracic surgeries.

#성대주입술·성대마비·흉부수술·흡인 #Injection laryngoplasty·Vocal fold paralysis·Thoracic surgery·Respiratory aspiration

참고문헌 (13)

참고문헌 신청

Abraham MT / 2002 / Type I thyroplasty for acute unilateral vocal fold paralysis following intrathoracic surgery / Ann Otol Rhinol Laryngol 111 (8) : 667 ~ 671

Atkins BZ / 2004 / Reducing hospital morbidity and mortality following esophagectomy / Ann Thorac Surg 78 (4) : 1170 ~ 1176

Bhattacharyya N / 2002 / Dysphagia and aspiration with unilateral vocal cord immobility: Incidence, characterization, and response to surgical treatment / Ann Otol Rhinol Lar

Bhattacharyya N / 2003 / Improved outcomes with early vocal fold medialization for vocal fold paralysis after thoracic surgery / Auris Nasus Larynx 30 (1) : 71 ~ 75

Grant JR / 2008 / Acute and subacute awake injection laryngoplasty for thoracic surgery patients / J Voice 22 (2) : 245 ~ 250

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