治疗双侧声带外展麻痹和双侧声带固定引起的喉阻塞,有气管造孔、显微镜下喉外进路手术等方法。由于都得不到预期效果,无一成为标准术式。本文报告在内腔镜下,作小天窗式粘膜瓣、CO_2激光切除疤痕及粘膜瓣缝合治疗10例双侧声带麻痹病人。内腔镜喉成形术基本方法:经气管造口外插管麻醉,在 Dedo 氏喉镜与手术显微镜下于杓间区作切口,做一蒂在杓间区前下方的粘膜瓣(天窗瓣)。用 CO_2激 Treatment of bilateral vocal cord abduction and bilateral vocal cord fixation caused by laryngeal obstruction, there are tracheal holes, microsurgery surgery under the larynx method. Because they are not expected to result, none of the standard surgery. This article reports 10 cases of bilateral vocal cord paralysis under the endoscope, small skylight mucosal flap, CO_2 laser scar excision and mucosal flap suture. Endoscopic laryngeal angioplasty basic method: Tracheostomy tube anesthesia, Dedo laryngoscope and surgical microscope in the intercostal area incision, make a pedicle in the inter-glade area before the bottom of the mucosal flap (sunroof valve). With CO2 shock