Koutou (THE LARYNX JAPAN)最新文献_第10页

Two Cases of Laryngeal Injury Due to Endotracheal Intubation that Required Surgical Treatment 气管插管致喉部损伤需手术治疗2例

Koutou (THE LARYNX JAPAN) Pub Date : 2020-12-01 DOI: 10.5426/LARYNX.32.207

Naoko Ogata, R. Ueha, Taku Sato, T. Goto, A. Yamauchi, T. Yamasoba

{"title":"Two Cases of Laryngeal Injury Due to Endotracheal Intubation that Required Surgical Treatment","authors":"Naoko Ogata, R. Ueha, Taku Sato, T. Goto, A. Yamauchi, T. Yamasoba","doi":"10.5426/LARYNX.32.207","DOIUrl":"https://doi.org/10.5426/LARYNX.32.207","url":null,"abstract":"Endotracheal intubation can induce various laryngeal injuries. Treatments for such injuries differ depending on the injured site and duration elapsed after intubation. We herein report two cases of laryngeal injury due to endotracheal intubation that required surgical treatment. Case 1 was an 80-year-old woman who suffered from dyspnea 2 days after surgery for lung cancer. She had been intubated with a thick, double-lumen endotracheal tube, and had exhibited persistent hoarseness since the surgery. Upon laryngeal endoscopy, her airway had almost completely closed due to membranous granulation covering the subglottis. Tracheostomy, removal of the granulation tissue, and local injection of triamcinolone acetonide were performed to secure the airway. Although several rounds of granulation tissue removal were required to achieve a safe airway, the tracheostoma was ultimately successfully closed. Case 2 was a 55-year-old man who had been intubated for 11 days after surgery for esophageal cancer. Hoarseness was evident immediately after extubation. Laryngeal endoscopy confirmed bilateral vocal fold paralysis at the paramedian position, but the airway was narrowly maintained. During follow-up, vocal fold mobility gradually improved for a time. However, bridge-like granulation appeared in the posterior glottis later, and vocal fold abduction gradually became impaired bilaterally. Removal of the granulation tissue and topical triamcinolone acetonide injection were performed to prevent scar formation. After the surgery, the vocal fold mobility fully recovered without recurrence of granulation tissue. Laryngeal injuries should be suspected when hoarseness is apparent after extubation, and surgical treatment should be considered in cases involving airway problems.","PeriodicalId":338069,"journal":{"name":"Koutou (THE LARYNX JAPAN)","volume":"452 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124092005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Outcomes for Patients with Voice Prosthesis 假声患者的临床效果

Koutou (THE LARYNX JAPAN) Pub Date : 2020-12-01 DOI: 10.5426/LARYNX.32.172

Shinsuke Suzuki, Satoshi Toyoma, Yohei Kawasaki, K. Koizumi, Takechiyo Yamada

{"title":"Clinical Outcomes for Patients with Voice Prosthesis","authors":"Shinsuke Suzuki, Satoshi Toyoma, Yohei Kawasaki, K. Koizumi, Takechiyo Yamada","doi":"10.5426/LARYNX.32.172","DOIUrl":"https://doi.org/10.5426/LARYNX.32.172","url":null,"abstract":"Tracheoesophageal shunt utterance using a voice prosthesis as a substitute voice after laryngectomy is an excellent method and is widely used. However, in addition to temporary removal due to complications, the use of voice prostheses is occasionally discontinued for various reasons that lead to their permanent removal. We evaluated the voice acquisition rate, complications, and outcomes of 23 patients who underwent voice reconstruction using a voice prosthesis after total laryngectomy in our department from January 2007 to December 2018 . The voice acquisition rate was 87 %. Seven complications occurred in six cases, the most common of which was granulation, followed by leakage and infection in one case each, although all were eventually rescued. However, there were five cases where permanent voice prosthesis removal was necessary for reasons other than complications. Three of these patients had good voice acquisition but were unable to use the voice prosthesis due to the effects of other diseases. In the other two cases, a voice could not be obtained, and the patients expressed their desire to have the prosthesis removed. In the future, aging of voice prosthesis users and long-term use are expected, which will make it necessary not only to accurately determine the adaptation in consideration of the patient’s intention, activity and living environment but also to consider how to proceed when voice prosthesis use becomes difficult due to other diseases.","PeriodicalId":338069,"journal":{"name":"Koutou (THE LARYNX JAPAN)","volume":"162 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132824561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case Report: A Patient of Nasogastric Tube Syndrome Presenting with Vocal Fold Paresis 鼻胃管综合征患者声带麻痹1例报告

Koutou (THE LARYNX JAPAN) Pub Date : 2020-12-01 DOI: 10.5426/LARYNX.32.213

Yukari Tsuna, A. Inoue, K. Matsushima, Sachiko Hosono, K. Wada

引用次数: 0

Pre- and Postoperative Evaluations of Patients with Unilateral Vocal Fold Paralysis Using Ultra-high-resolution Computed Tomography 单侧声带麻痹患者的超高分辨率计算机断层扫描术前和术后评价

Koutou (THE LARYNX JAPAN) Pub Date : 2020-12-01 DOI: 10.5426/LARYNX.32.178

M. Miyamoto, I. Watanabe, A. Mogi, H. Nakagawa, Koichiro Saito

{"title":"Pre- and Postoperative Evaluations of Patients with Unilateral Vocal Fold Paralysis Using Ultra-high-resolution Computed Tomography","authors":"M. Miyamoto, I. Watanabe, A. Mogi, H. Nakagawa, Koichiro Saito","doi":"10.5426/LARYNX.32.178","DOIUrl":"https://doi.org/10.5426/LARYNX.32.178","url":null,"abstract":"Computed tomography is useful for diagnosing laryngeal trauma, the extension of laryngeal cancer and lymph node metastasis of carcinoma. Yumoto et al. reported that helical CT was useful for evaluating three-dimensional images of the laryngeal structure. Furthermore, they performed helical CT in patients with unilateral vocal fold paralysis in order to understand the laryngeal morphology. Hiramatsu et al. reported that this approach visualized the movement of the arytenoid cartilages on reconstruction imaging. The present study evaluated six patients with unilateral vocal fold paralysis whose voices improved after phonosurgery. Two patients underwent arytenoid adduction and thyroplasty typeI, two underwent only thyroplasty typeI, and two underwent injection surgery. The virtual endoscopic images reconstructed from ultrahigh-resolution CT (UHRCT) showed a gap in the posterior glottal region in the cases for whom preoperative evaluations using flexible laryngoscopy had been very difficult due to supraglottic hypertension. Postoperative changes in the arytenoid position were observed on three-dimensional images. UHRCT was shown to be effective for selecting the phonosurgery approach. This modality is a very important tool for determining which phonosurgical procedures to perform and for evaluating the postoperative change. We successfully evaluated the anatomical changes, glottal closure and position of arytenoid cartilages preand postoperatively using UHRCT.","PeriodicalId":338069,"journal":{"name":"Koutou (THE LARYNX JAPAN)","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130928235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of Voice Therapy for Remaining Hoarseness Due to Tension Imbalance Following Medialization Procedures 声音疗法治疗中西医结合后因张力不平衡而遗留的声音嘶哑的疗效

Koutou (THE LARYNX JAPAN) Pub Date : 2020-06-01 DOI: 10.5426/larynx.32.52

M. Kaneko, Y. Sugiyama, S. Hirano

{"title":"Efficacy of Voice Therapy for Remaining Hoarseness Due to Tension Imbalance Following Medialization Procedures","authors":"M. Kaneko, Y. Sugiyama, S. Hirano","doi":"10.5426/larynx.32.52","DOIUrl":"https://doi.org/10.5426/larynx.32.52","url":null,"abstract":"Medialization procedures, such as type I thyroplasty, arytenoid adduction, and vocal fold injection, are currently popular treatments for hoarseness due to unilateral vocal fold paralysis. However, hoarseness occasionally remains after medialization procedures due to tension imbalance. This tension imbalance causes diplophonia, asymmetry and aperiodic vibrational flutter in travelling wave motion. This is mostly due to incomplete glottic closure, imbalance in muscular tension, and increased air flow through an incompetent glottis. There is no established treatment for tension imbalance. We herein report two cases with remaining hoarseness post-medialization for chronic unilateral vocal fold paralysis. These patients underwent voice therapy using flow phonation to establish respiratory support and a resonant voice to facilitate vocal fold vibration. As a result, the functional vocal fold vibration, aerodynamic assessments, acoustic analysis findings and self-rated condition improved in both cases after therapy. These results suggest that voice therapy involving flow phonation and resonant voice may help improve the vocal function in cases of tension imbalance with dysphonia. Further studies with a larger number of participants or a prospective randomized controlled trial are warranted.","PeriodicalId":338069,"journal":{"name":"Koutou (THE LARYNX JAPAN)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130962190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Case of Masticatory Muscle Tendon Aponeurosis Hyperplasia with Severe Opening Disorder at Laryngeal Microsurgery 咀嚼肌腱腱膜增生伴喉显微手术严重开口障碍1例

Koutou (THE LARYNX JAPAN) Pub Date : 2020-06-01 DOI: 10.5426/larynx.32.58

E. Suzuki, M. Higashino, Masataka Taniuchi, N. Suzuki, R. Kawata

引用次数: 0

The Outcome of Anti-reflux Surgery for Patients with Laryngopharyngeal Reflux Disease 咽喉反流病患者抗反流手术的效果

Koutou (THE LARYNX JAPAN) Pub Date : 2020-06-01 DOI: 10.5426/larynx.32.29

Takeshi Suzuki, Y. Seki, T. Matsumura, D. Sakurai, T. Hanazawa, Y. Okamoto, T. Hoppo

引用次数: 0

Surgery for Improving Function of Swallowing 改善吞咽功能的外科手术

Koutou (THE LARYNX JAPAN) Pub Date : 2020-06-01 DOI: 10.5426/larynx.32.8

S. Chitose