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1986年以来,我们用杓状软骨摘除加喉内硅胶管扩张法,治疗双侧声带外展麻痹3例,术后均顺利拔管,呼吸通畅,饮水不呛,发音清晰响亮。现报告如下。一般资料 3例中男1例,女2例;年龄32～39岁。均为甲状腺手术致喉返神经麻痹。两例声带固定于正中位,其中1例呈急性喉梗阻,行紧急气管切开术;1例来院时气管已切开。1例声带固定于旁正中位,声门裂约2 mm,有Ⅰ°呼吸困难。使用材料喉内扩张的硅胶管呈T形,下支和
Since 1986, we have used the arytenoid cartilage removal plus intradermal silicone tube dilatation method to treat 3 cases of bilateral vocal cord abduction paralysis. All patients were well extubated after the operation, breathing was smooth, water was not choke, and the pronunciation was clear and loud. The report is as follows. General information in 3 cases, 1 males and 2 females; aged 32 to 39 years. Thyroid surgery caused by recurrent laryngeal nerve paralysis. Two cases of vocal cord fixed in the median, including 1 case of acute laryngeal obstruction, emergency tracheotomy; 1 case when the trachea has been cut. One case of vocal cord was fixed to the midline, the glottis was about 2 mm, with I ° breathing difficulties. Throat material used to expand the silicone tube was T-shaped, the next branch and