Comparative Analysis of Efficiency of Injection Laryngoplasty Technique for with or without Neck Treatment Patients: A Transcartilaginous Approach Versus the Cricothyroid Approach

이승원; 김재욱; 고윤우; 심성신; 손영익

추천

검색

자료유형: 학술저널

저자정보: 이승원 김재욱 고윤우 심성신 손영익

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제3권 제1호

발행연도: 2010.1

수록면: 37 - 41 (5page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objectives. These days, the main injection laryngoplasty technique is cricothyroid (CT) approach. However, patients who have previously undergone other neck treatments, such as thyroidectomy or neck dissection have distorted anatomical landmark makes this approach more difficult. The aim of this study is to determined the efficiency of transcartilaginous (TC) approah as compared with CT approach for unilateral vocal fold paralysis patients, especially for previously neck treated patients. Methods. From March 2005 to February 2008, 137 consecutive injection laryngoplasties were performed in patients with unilateral glottic insufficiency. Percutaneous injection was performed under local anesthesia into the vocalis muscle, using disposable 25 G 4 cm long needles through the cricothyroid membrane or directly through the thyroid cartilage. Of the 137 patients, 124 completed acoustic, perceptual, stroboscopic, and subjective evaluations prior to the injection and at 3 months after the injection. Results. In the 124 patients, the CT and TC approaches were used in 94 and 30 patients, respectively. Acoustic and perceptual parameters (GRBAS, MPT, jitter, shimmer), voice handicap index, and grades of mucosal waves and glottic closure were significantly improved after the injection in both the CT and TC groups (P<0.05). Only two patients (6.6%) had penetration difficulties, because of ossification of the thyroid cartilage. The overall success rates of the CT and TC approaches were 86.2%, 93.3%, respectively. However, the success rate of the TC approach in patients who had previously undergone neck treatments was significantly higher than that of the CT approach (100% vs. 65% P<0.05). Conclusion. Based on the preliminary results of this trial, injection laryngoplasty using a TC approach was an effective alternative to the CT approach, especially in patients who had previously undergone neck surgeries.

#Injection laryngoplasty #Thyroid cartilage #Vocal cord paralysis

참고문헌 (12)

참고문헌 신청

Anderson TD / 2001 / Immediate percutaneous medialization for acute vocal fold immobility with aspiration / Laryngoscope 111 (8) : 1318 ~ 1321

Berke GS / 1999 / Treatment of Parkinson hypophonia with percutaneous collagen augmentation / Laryngoscope 109 (8) : 1295 ~ 1299

Dursun G / 2008 / Long-term results of different treatment modalities for glottic insufficiency / Am J Otolaryngol 29 (1) : 7 ~ 12

Green DC / 1992 / Point-touch technique of botulinum toxin injection for the treatment of spasmodic dysphonia / Ann Otol Rhinol Laryngol 101 (11) : 883 ~ 887

Jin SM / 2008 / Transcutaneous injection laryngoplasty through the cricothyroid space in the sitting position:anatomical information and technique / Eur Arch Otorhinolaryngol

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!