Thyroplasty with Montgomery® implant for unilateral laryngeal nerve paralysis.

被引:6
作者
Laccourreye, O [1 ]
Papon, JF [1 ]
Ménard, M [1 ]
Crevier-Buchman, L [1 ]
Brasnu, D [1 ]
Hans, S [1 ]
机构
[1] Hop Europeen Georges Pompidou, Serv Otorhinolaryngol & Chirurg Cervicofaciale, F-75015 Paris, France
来源
ANNALES DE CHIRURGIE | 2001年 / 126卷 / 08期
关键词
laryngeal paralysis; thyroplasty;
D O I
10.1016/S0003-3944(01)00595-8
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objectives: An analysis of thyroplasty with Montgomery(R) implant under local anesthesia for unilateral laryngeal nerve paralysis. Patients and method: An inception cohort of 21 patients was operated on with a minimum follow-up of 9 months. All patients had severe dysphonia and breathlessness. Seven patients had aspiration with a non efficient cough. Results: The only adverse side effect was a subcutaneous cervical hematoma in one patient. Aspiration disappeared immediately after completion of the thyroplasty. Immediate improvement of speech, cough, and breathlessness was achieved in all patients. Over time, speech and voice remained stable in all patients. Recurrence of aspiration was not encountered. Conclusion: Such data supported the notion that the thyroplasty with Montgomery(R) implant under local anesthesia is an extremely valuable option in patients with unilateral laryngeal nerve paralysis. (C) 2001 Editions scientifiques et medicales Elsevier SAS.
引用
收藏
页码:768 / 771
页数:4
相关论文
共 12 条
[1]   Laryngeal immobility following thyroid surgery. [J].
Baujat, B ;
Delbove, H ;
Wagner, I ;
Fugain, C ;
de Corbière, S ;
Chabolle, F .
ANNALES DE CHIRURGIE, 2001, 126 (02) :104-110
[2]  
BENNINGER MS, 1994, OTOLARYNG HEAD NECK, V111, P497
[3]   Titanium vocal fold medializing implant: Introducing a novel implant system for external vocal fold medialization [J].
Friedrich, G .
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1999, 108 (01) :79-86
[4]  
Hartl D M, 2000, Ann Otolaryngol Chir Cervicofac, V117, P60
[5]   THYROPLASTY TYPE-I (LATERAL COMPRESSION) FOR DYSPHONIA DUE TO VOCAL CORD PARALYSIS OR ATROPHY [J].
ISSHIKI, N ;
OKAMURA, H ;
ISHIKAWA, T .
ACTA OTO-LARYNGOLOGICA, 1975, 80 (5-6) :465-473
[6]   Recovery of function after intracordal autologous fat injection for unilateral recurrent laryngeal nerve paralysis [J].
Laccourreye, O ;
Crevier-Buchman, L ;
Le Pimpec-Barthes, F ;
Garcia, D ;
Riquet, M ;
Brasnu, D .
JOURNAL OF LARYNGOLOGY AND OTOLOGY, 1998, 112 (11) :1082-1084
[7]   Intracordal autologous fat injection for aspiration after recurrent laryngeal nerve paralysis [J].
Laccourreye, O ;
Paczona, R ;
Ageel, M ;
Hans, S ;
Brasnu, D ;
Crevier-Buchman, L .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 1999, 256 (09) :458-461
[8]  
Laccourreye O, 1999, Chirurgie, V124, P283, DOI 10.1016/S0001-4001(99)80094-4
[9]   Medialization laryngoplasty with expanded polytetrafluoroethylene - Surgical technique and preliminary results [J].
McCulloch, TM ;
Hoffman, HT .
ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY, 1998, 107 (05) :427-432
[10]  
McLean-Muse A, 2000, ANN OTO RHINOL LARYN, V109, P393