内镜黏膜旋转瓣治疗后声门水肿：病例报告

The Laryngoscope Pub Date : 2024-09-14 DOI:10.1002/lary.31760

Jessica M.L. Pagel, Rachel H. Jonas, James J. Daniero, Patrick O. McGarey

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引用次数: 0

摘要

该报告描述了在一名非插管引起的声门后部功能不全的专业嗓音使用者身上使用内窥镜二氧化碳激光辅助声门后部旋转瓣的新方法。这名 78 岁的患者出现了进行性发音障碍和说话时呼吸困难，并在频闪镜下发现声门后部发育不全。经过多次经验性嗓音治疗未见好转后，患者接受了所述手术以矫正声门后部发育不全。手术后，VHI-10 从 25 改善到 9，整体 CAPE-V 从 69 改善到 6.5。术后 6 个月的最后一次随访中，患者恢复了公开演讲和讲课，发声质量和功能得到了持续改善。喉镜, 2024

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Endoscopic Mucosal Rotational Flap for Posterior Glottic Insufficiency: A Case Report

The report describes the novel use of an endoscopic CO2 LASER assisted posterior glottic rotation flap in a professional voice user with non‐intubation related posterior glottic insufficiency. The 78‐year‐old patient presented with progressive dysphonia and dyspnea with speaking with stroboscopy findings of posterior glottic insufficiency.After several empiric voice treatments without improvement, the described surgery was performed to correct posterior glottic insufficiency. After surgery, VHI‐10 improved from 25 to 9, overall CAPE‐V from 69 to 6.5. The patient resumed public speaking and lecturing with maintained improvement in vocal quality and function at last follow‐up six months postoperatively. Laryngoscope, 2024

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The Laryngoscope

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