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手术治疗声带麻痹的目的是恢复足够的呼吸空间又不妨害发音功能。本世纪前半页主要用根治性和破坏性技术重建呼吸机能,多取外部途径。呼吸和发音功能有矛盾,Thor nell为协调上述二因素,提出经直达喉镜喉内杓状软骨切除术,但未取得很大成功,杓状软骨切除术仍经甲状软骨切开进行。1968年Kleinsasser提出将Thornell杓状软骨切除术和同侧声带后2/3粘膜下切除术相结合,短期效果满意,但报告的病例太少;直到1972年Wicher等报告144例Kleinsasser术的结果才肯定了这种方法。迄今普遍的看法是,不论采用什么方法,必须将杓状软骨切除,才能给呼吸提供必要的空间,同时保持声带完全或部分完整,保留发音功能。
Surgical treatment of vocal cord paralysis is intended to restore adequate breathing space without compromising pronunciation function. The first half of this century mainly uses radical and destructive technology to rebuild the respiratory function, to take more external ways. There was a contradiction between respiratory and phonetic sounds. Thornell proposed a direct laryngopharyngeal laryngeal arytenotomy in order to reconcile the above two factors but did not achieve great success. Artiodyroidectomy was still undergoing thyroideotomy. In 1968, Kleinsasser proposed short-term results by combining Thornell’s arytenoid surgery with 2/3 sub-mucosal resection of the ipsilateral vocal cord. However, only a few cases were reported. Until 1972, Wicher et al. Reported 144 cases of Kleinsasser’s findings Affirmed this method. It is a common belief to date that, irrespective of the method used, the arytenoid cartilage must be resected in order to provide the respiration with the necessary space, while keeping the vocal cords completely or partially intact, retaining the phonetic function.