일측성 성대 마비 환자에서 연하 장애의 수술적 치료
Surgical Management of Dysphagia in Patients with Unilateral Vocal Cord Paralysis
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Glottal closure occurs during the normal swallow was part of the mechanism that prevents aspiration of the bolus of foods. It also protects the airway from aspiration of respiratory secretions produced by the salivary glands of the upper aerodigestive tract. Glottal insufficiency disrupts glottal closure and herefore puts patients at risk of aspiration. Surgical treatment of glottal insufficiency includes injection laryngoplasty, medicalization thyroplasty with or without arytenoid adduction, cricopharynx muscle dilation, and cricopharynx myotomy. These treatment modalities should be included in the otolaryngologist’s armamentarium for managing dysphagia in patients with unilateral vocal fold paralysis.
Abstract
Glottal closure occurs during the normal swallow was part of the mechanism that prevents aspiration of the bolus of foods. It also protects the airway from aspiration of respiratory secretions produced by the salivary glands of the upper aerodigestive tract. Glottal insufficiency disrupts glottal closure and herefore puts patients at risk of aspiration. Surgical treatment of glottal insufficiency includes injection laryngoplasty, medicalization thyroplasty with or without arytenoid adduction, cricopharynx muscle dilation, and cricopharynx myotomy. These treatment modalities should be included in the otolaryngologist’s armamentarium for managing dysphagia in patients with unilateral vocal fold paralysis.
참고문헌 (14)
- Rosenthal LH, "Vocal fold immobility : a longitudinal analysis of etiology over 20years", Laryngoscope, 117, pp.1864~1870 (2007)
- Benninger MS, "Evaluation and treatment of the unilateral paralyzed vocal fold", Otolaryngol Head Neck Surg, 111, pp.497~508 (1994)
- Hong KH, "Arytenoid appearance and vertical level difference between the paralyzed and innervated vocal cords", Laryngoscope, 111, pp.227~232 (2001)
- Richardson BE, "Clinical evaluation of vocal fold paralysis", Otolaryngol Clin North Am, 37, pp.45~58 (2004)
- 임정택, "일측 성대마비 173예에 대한 임상적 고찰", 대한이비인후과학회지 두경부외과학, 46(7), pp.580~585 (2003), 대한이비인후과학회
- McCulloch TM, "Long-term follow-up of fat injection laryngoplasty for unilateral vocal cord paralysis", Laryngoscope, 112, pp.1235~1238 (2002)
- Isshiki N, "Thyroplasty type I(lateral compression)for dysphonia due to vocal cord paralysis or atrophy", Acta Otolaryngol, 80, pp.465~473 (1975)
- Isshiki N, "Arytenoid adduction for unilateral vocal cord paralysis", Arch Otolaryngol, 104, pp.555~558 (1978)
- Tucker HM, "Combined laryngeal framework medialization and reinnervation for unilateral vocal cord paralysis", Ann Otol Rhinol Laryngol, 99, pp.778~781 (1990)
- Lahey FH, "Pharyngoesophageal diverticulum : Its management and complications", Ann Surg, 124, pp.617~636 (1946)
- Cook IJ, "Treatment of oropharyngeal dysphagia", Curr Treat Options Gastroenterol, 6, pp.273~281 (2003)
- Kelly JH, "Management of Upper Esophageal Sphincter Disorders : Indications and Complications of Myotomy", Am J Med, 108, pp.43~46 (2000)
- Kaplan S., "A post-polimyelitis complication treated by section of the cricopharyngeus muscle", Ann Surg, 133, pp.572~573 (1951)
- Shaker R, "Effect of aging on the deglutitive oral, pharyngeal and esophageal motor function", Dysphagia, 9, pp.221~228 (1994)