单侧声带麻痹的治疗方法有神经移植、声带内移及声带充填等,后者多采用特氟隆声带内注射,但注射后可发生声带僵硬、肉芽肿形成、颈部脓肿及呼吸困难等并发症。作者选择脂肪组织作为声带内注射材料,克服了以上缺点。脂肪取于自体腹壁,经插管抽吸收集,盐水冲洗除去血液后用19号长针,在放大10倍的手术显微镜下,沿麻痹声带的长轴将脂肪注射到声带肌内,使声带边缘略有凸起,术后应用抗生素5天,并限制发音,作者治疗3例,术后发音良好,电视动态喉镜检查声带振动正常无僵 Unilateral vocal cord paralysis of the treatment of nerve transplantation, vocal cord shift and vocal cord filling, the latter use Teflon vocal cord injection, but may occur after injection of vocal cord stiffness, granuloma formation, neck abscess and breathing difficulties and other complications disease. The authors chose adipose tissue as a vocal cord injection material to overcome the above drawbacks. Fat was taken from the abdominal wall of the body and collected by cannula aspiration. After removing the blood by saline flushing, a long needle 19 was used to inject fat into the vocal cord muscle along the long axis of the paralyzed vocal cords under a magnification of 10 times under an operating microscope. Slightly raised, postoperative antibiotics for 5 days, and limit the pronunciation, the author treatment in 3 cases, postoperative good pronunciation, video dynamic laryngoscopy vocal cord vibration was normal without stiffness