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연축성 발성장애 환자에서 레이저와 단극성 전기소작기를 이용한 갑상피열근신경 절제술 1예

A Case of Thyroarytenoid Myoneurectomy Using LASER and Monopolar Electrical Device in Spasmodic Dysphonia

  • 이소정 (이화여자대학교 의과대학 이비인후과학교실) ;
  • 정수연 (이화여자대학교 의과대학 이비인후과학교실) ;
  • 정성민 (이화여자대학교 의과대학 이비인후과학교실) ;
  • 김한수 (이화여자대학교 의과대학 이비인후과학교실)
  • Lee, So Jeong (Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine) ;
  • Jung, Soo Yeon (Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine) ;
  • Chung, Sung Min (Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine) ;
  • Kim, Han Su (Department of Otorhinolaryngology-Head and Neck Surgery, Ewha Womans University School of Medicine)
  • 투고 : 2019.07.15
  • 심사 : 2019.09.26
  • 발행 : 2019.12.30

초록

Spasmodic dysphonia is a focal laryngeal dystonia that results in involuntary spasms during speech. The etiology of spasmodic dysphonia is not yet defined, but it is presumed to be a neurological abnormality of central nervous system motor function. The treatment of choice for spasmodic dysphonia is botulinum toxin injection directly at the laryngeal muscles. However botulinum toxin injection requires repeated procedures. Many different kinds of surgical treatments have been introduced but the recurrence rate is still high. So we performed myomectomy with LASER and neurectomy with specially designed electrical surgical knife which can cut recurrent laryngeal nerve branch selectively with its noble curved section. We report a case of a 43-year-old male patient with spasmodic dysphonia treated by thyroarytenoid myoneurectomy.

키워드

참고문헌

  1. Ludlow CL, Adler CH, Berke GS, Bielamowicz SA, Blitzer A, Bressman SB, et al. Research priorities in spasmodic dysphonia. Otolaryngol Head Neck Surg 2008;139(4):495-505. https://doi.org/10.1016/j.otohns.2008.05.624
  2. Tsuji DH, Takahashi MT, Imamura R, Hachiya A, Sennes LU. Endoscopic laser thyroarytenoid myoneurectomy in patients with adductor spasmodic dysphonia: a pilot study on long-term outcome on voice quality. J Voice 2012;26(5):666.e7-12. https://doi.org/10.1016/j.jvoice.2011.07.009
  3. Choi HS. Botox injection for the management of spasmodic dysphonia. J Korean Laryngol Phonia 2012;23(2):99-103.
  4. Ludlow CL. Treatment for spasmodic dysphonia: limitation of current approaches. Curr Opin Otolaryngol Head Neck Surg 2009;17(3):160-5. https://doi.org/10.1097/MOO.0b013e32832aef6f
  5. Dedo HH, Behlau MS. Recurrent laryngeal nerve section for spastic dysphonia: 5- to 14-year preliminary results in the first 300 patients. Ann Otol Rhinol Laryngol 1991;100(4 Pt 1):274-9. https://doi.org/10.1177/000348949110000403
  6. Choi HS. Selective thyro-arytenoid (TA) nerve section and ansa cervicalis reinnervation for the treatment of spasmodic dysphonia. J Korean Soc Laryngol Phoniatr Logops 1995;38(2):267-74.
  7. Weed DT, Jewett BS, Rainey C, Zealear DL, Stone RE, Ossoff RH, et al. Long-term follow-up of recurrent laryngeal nerve avulsion for the treatment of spastic dysphonia. Ann Otol Rhinol Laryngol 1996;105(8):592-601. https://doi.org/10.1177/000348949610500802
  8. Carpenter RJ III, Snyder GG III, Henley-Cohn JL. Selective section of the recurrent laryngeal nerve for the treatment of spastic dysphonia: an experimental study and preliminary clinical report. Otolaryngol Head Neck Surg 1981;89(6):986-91. https://doi.org/10.1177/019459988108900621
  9. Chhetri DK, Mendelsohn AH, Blumin JH, Berke GS. Long-term follow-up results of selective laryngeal adductor denervation-reinnervation surgery for adductor spasmodic dysphonia. Laryngoscope 2006;116(4):635-42. https://doi.org/10.1097/01.MLG.0000201990.97955.E4
  10. Chan SW, Baxter M, Oates J, Yorston A. Long-term results of type II thyroplasty for adductor spasmodic dysphonia. Laryngoscope 2004; 114(9):1604-8. https://doi.org/10.1097/00005537-200409000-00019
  11. Kim HS, Choi HS, Lim JY, Choi YL, Lim SE. Radiofrequency thyroarytenoid myothermy for treatment of adductor spasmodic dysphonia: how we do it. Clin Otolaryngol 2008;33(6):621-5. https://doi.org/10.1111/j.1749-4486.2008.01777.x
  12. Nakamura K, Muta H, Watanabe Y, Mochizuki R, Yoshida T, Suzuki M. Surgical treatment for adductor spasmodic dysphonia--efficacy of bilateral thyroarytenoid myectomy under microlaryngoscopy. Acta Otolaryngol 2008;128(12):1348-53. https://doi.org/10.1080/00016480801965019

피인용 문헌

  1. 난치성 연축성 발성장애 환자에서 갑상피열근 절제술 및 선택적 반회후두신경 절제술 1예: 장기 추적 관찰 vol.31, pp.1, 2019, https://doi.org/10.22469/jkslp.2020.31.1.35