首页> 外文期刊>Journal of voice: official journal of the Voice Foundation >Allograft (Alloderm) and autograft (temporalis fascia) implantation for glottic insufficiency: a novel approach.
【24h】

Allograft (Alloderm) and autograft (temporalis fascia) implantation for glottic insufficiency: a novel approach.

机译:同种异体移植(Alloderm)和自体移植(颞筋膜)植入治疗声门功能不全:一种新方法。

获取原文
获取原文并翻译 | 示例
       

摘要

OBJECTIVE: Traditionally, glottic insufficiency because of scar, atrophy, and sulcus has been treated by injection or medialization laryngoplasty. These procedures do not reestablish the vertical height of the vocal fold margin. We propose soft tissue augmentation laryngoplasty with allograft (sheet Alloderm; LifeCell Corporation, Branchburg, NJ) or autograft (temporalis fascia) via a minithyrotomy or a transoral approach. STUDY DESIGN: A retrospective case series analysis of 21 patients treated by sheet Alloderm or temporalis fascia for correction of glottic insufficiency. METHODS: Twenty-one patients with glottic insufficiency secondary to scar, atrophy, or sulcus were treated. Ten failed prior techniques. Seventeen had minithyrotomy by a small fenestration in the thyroid cartilage. Exploration of scar or lamina propria through the fenestration allowed for the creation of a pocket for Alloderm implantation within the intermediate layer of the lamina propria. Four patients underwent a transoral approach by cordotomy with either Alloderm or temporalis fascia implantation, which also allowed for exploration of scar but required repair using sutures. These implantation approaches allowed for both restoration of the layered structure and augmentation of the middle third of the musculomembranous vocal fold. Preoperative and postoperative videostroboscopic examinations were reviewed with review of clinical outcome. RESULTS: With a median follow-up time of 12 months, patients demonstrated excellent long-term vocal fold augmentation and minimal absorption of the implant in 19 out of 21 patients. There is improved pliability of the vocal fold with good oscillation in scar patients. CONCLUSION: Minithyrotomy with soft tissue augmentation is a novel approach for soft tissue augmentation of glottic insufficiency. It has the advantage of augmentation of the medial edge of the vocal fold with a soft tissue implant that has long-term viability. Its role should be explored further in patients with atrophy and scar.
机译:目的:传统上,由于疤痕,萎缩和沟而引起的声门功能不全已通过注射或中度喉镜成形术治疗。这些过程不会重新建立声带边缘的垂直高度。我们建议通过微型甲状腺切开术或经口入路同种异体移植(活页Alloderm; LifeCell Corporation,Branchburg,NJ)或自体移植(颞肌筋膜)进行软组织隆突成形术。研究设计:一项回顾性病例系列分析,对21例经表皮Alloderm或颞肌筋膜矫正术治疗的声门功能不全患者进行了分析。方法:21例继发于瘢痕,萎缩或沟的声门功能不全患者接受了治疗。十项失败的现有技术。十七名通过在甲状腺软骨上开小窗进行了小甲状腺切开术。通过开窗术探查疤痕或固有层,可以在固有层的中间层内形成一个用于Alloderm植入的口袋。四名患者通过异体切开术或异体筋膜植入术进行了经口切开的经口入路,这也允许探查疤痕,但需要使用缝合线进行修复。这些植入方法既可以恢复层状结构,又可以增加肌膜声带的中三分之一。回顾了术前和术后的视频频闪检查,并回顾了临床结局。结果:中位随访时间为12个月,在21例患者中,有19例患者表现出出色的长期声带增强和最小的植入物吸收。疤痕患者的声带柔韧性得到改善,振荡良好。结论:微型甲状腺切开术结合软组织增大术是声门功能不全软组织增大术的一种新方法。它具有利用具有长期生存能力的软组织植入物来增强声带内侧边缘的优点。在萎缩和疤痕患者中应进一步探讨其作用。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号