• 제목/요약/키워드: 성대 마비

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양측성 성대 마비로 오인된 피열간 반흔 1예 (A Case of Interarytenoid Scar Disguising Bilateral Vocal Cord Palsy)

  • 신동혁;김용운;이용식
    • 대한후두음성언어의학회지
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    • 제25권1호
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    • pp.36-38
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    • 2014
  • The patient suffered cardiac arrest 8 months before presentation. She has been suffering hoarseness and exertional dyspnea and nocturnal stridor. Upon flexible laryngoscopy, her vocal cords showed no motion and fixed in paramedian position. There was no causal finding on neck CT. EMG showed some muscular activity. Under the suspicion of crico arytenoid fixation, we performed suspension laryngoscopy, and found the arytenoid cartilage was fixed with short and stout scar, which was removed with scissors. Just after surgery she regained her voice and respiration.

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일측성 성대 마비의 치료 원칙 (Management Principle of Unilateral Vocal Fold Paralysis)

  • 한주희;한명월;남순열
    • 대한후두음성언어의학회지
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    • 제20권2호
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    • pp.110-117
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    • 2009
  • Vocal fold paralysis continues to be a dominant topic in laryngology. This review article discusses the management principle of patients suffering from unilateral vocal fold paralysis. There are currently some main methods ; voice therapy ; injection laryngoplasty ; laryngeal framework surgery ; reinnervation procedures.

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후두외상으로 발생한 일측 성대 마비의 감별진단으로서 후두근전도검사의 유용성 -증례보고- (The Clinical Usefulness of Laryngeal Electromyography(LEMG) for Differential Diagnosis of Traumatic Unilateral Vocal Cord Palsy -A Case Report-)

  • 최홍식;김한수;김정홍;장정현
    • 대한후두음성언어의학회지
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    • 제13권2호
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    • pp.188-192
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    • 2002
  • Unilateral vocal cord palsy which is associated with laryngeal trauma is not uncommon event. In a 42-year-old male, a cricoid cartilage fracure had been developed after blunt trauma. The endoscopic findings showed contusion and diffuse swelling around the left arytenoid and false cord. During phonation, the mobility of left side true vocal cord was decreased. There were no level difference and displacement of the left side arytenoid. We used the laryngeal electromyography (LEMG) to make a differential diagnosis between the cricoarytenoid joint dislocation and the injury of recurrent laryngeal nerve. At the right thyroarytenoid muscle and cricothyroid muscle, the findings of LEMG were normal. But the amplitude and frequency during phonation were decreased (partial denervation) at the left thyroarytenoid muscle. LEMG is a very useful method to predict the diagnosis of vocal cord palsy.

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$CO_2$ 레이저를 이용한 내시경적 피열연골 절제술 3례 ($CO_2$ LASER ARYTENOIDECTOMY -REPORT OF 3 CASES)

  • 최홍식;김광문;홍원표;주형관;전영명
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1987년도 제21차 학술대회 연제순서 및 초록
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    • pp.19.1-19
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    • 1987
  • 피열연골절제술 (arytenoidectomy)은 양측성대마비 환자의 호흡곤란을 해결하기 위한 방법의 하나로서 현재까지 사용되고 있으며, 술식을 대별하면 Woodman등이 시행한 extralaryngeal approach방법과 Thornell등이 시도한 내시경적 피열연골 절제술로 나눌 수 있다. 최근에는 $CO_2$레이저에 의한 내시경적 피열연골절제술이 각광을 받고 있는데 그 장점으로는 첫째, 수술방법이 쉽고, 둘째, 수술시 출혈이 적으며, 세째, 병변부에 기구를 직접 접촉시키지 않고 수술할 수 있어 수술시야를 방해받지 않으며, 네째, 술후 육아조직 발생이 적고, 다섯째, 국소염증 반응이 적어 치유가 빠르다는 점 등이라 할 수 있다. 저자들은 최근 여러 원인에 의해 발생된 양측 성대마비 환자 3례에서 coherent $CO_2$레이저를 이용한 내시경적 피열연골절제술을 시행하여 그 경과가 좋았기에 문헌고찰과 함께 보고하는 바이다.

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갑상선 수술 후 양측성 성대마비 환자의 음성치료 1예 (A Case of Voice Therapy for Post-Thyroidectomy Syndrome)

  • 강영애;송근호
    • 대한후두음성언어의학회지
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    • 제33권1호
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    • pp.45-49
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    • 2022
  • Post-thyroidectomy syndrome refers to various voice changes experienced after the thyroid surgery. Among them, surgery or injection therapy has been prioritized over voice therapy for the bilateral vocal cord paralysis. However, if it is possible to determine whether voice therapy can be applied first, a faster treatment recovery will be possible. In this study, voice therapy was performed on a 59-year-old female patient with bilateral vocal cord paralysis after total thyroidectomy. This study is to presents the criteria for applying the voice therapy first for bilateral vocal folds paralysis and to share successful voice therapy sessions.