• 제목/요약/키워드: 후두주입술

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성대주입술 (Injection Laryngoplasty)

  • 선동일
    • 대한후두음성언어의학회지
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    • 제24권2호
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    • pp.88-95
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    • 2013
  • In recent years, the application of injection laryngoplasty to a variety of laryngeal disorders has regained popularity. The technique of injection laryngoplasty has several appealing qualities including relative technical ease, low cost, and wide availability in many clinical settings. A growing number of injectable substances and injection methods have been developed. This review is intended to provide an updated discussion of indications, materials, and techniques for injection laryngoplasty.

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후두와 성도의 해부, 생리 및 병리

  • 정광윤
    • 대한음성언어의학회:학술대회논문집
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    • 대한음성언어의학회 1995년도 제4회 학술대회 심포지움 및 워크샵
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    • pp.63-78
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    • 1995
  • 음성의 생성기전은 폐의 호기에 의하여 성대가 진동하여 원음이 발생하고, 원음이 하인두, 구인두, 비인두, 구강 등의 성도를 통과하면서 공명이 일어나며, 혀와 입술의 운동에 의하여 조음이 일어나서 결국은 음성이 생성되게 된다. 저자는 음성을 생성하는 후두 및 성도의 음성외과학적 구조 및 생리에 대하여 주로 언급하고, 성도에 발생하는 다양한 질환중 음성에 영향을 주는 질환만을 선택하여 간략히 설명하고자 한다. (중략)

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자가 콜라겐주입술을 이용한 성대구증환자의 치료

  • 최홍식;이준협;정유삼;임영창;김광문
    • 대한음성언어의학회:학술대회논문집
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    • 대한음성언어의학회 1998년도 제10회 학술대회 심포지움
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    • pp.195-195
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    • 1998
  • 성문부폐쇄부전(glottic insufficiency)를 수술적으로 치료하기 위한 노력은 여러 형태(silicone, hydrogen gel, teflon, etc.)의 성대이물주입술, 갑상성형술등 다양하게 시도되어 왔다. 그러나, 이러한 노력에도 불구하고 성문부폐쇄부전은 여전히 해결하기 어려운 문제로 남아있다. 여기에 1995년 Ford 등은 성문부폐쇄부전에 이은 음성장애치료의 새로운 접근방법으로 자가 콜라겐주입술(autologous collagen injection)을 소개하였다. (중략)

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성대주입술 후 발생한 성대 내 농양 1례 (A Case of Vocal Cord Abscess after Injection Laryngoplasty)

  • 이종숙;김지원;최승호
    • 대한후두음성언어의학회지
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    • 제21권2호
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    • pp.142-144
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    • 2010
  • Unilateral vocal cord paralysis occurs from a dysfunction of the recurrent laryngeal nerve. It causes a characteristic hoarseness, shortness of breath and swallowing disability. Prompt injection laryngoplasty is a treatment options that aims to improve these symptoms less invasively and easily than any other procedures. Cross-linked hyaluronic acid (HA) is widely used injection material. It is non-mammalian polysaccharides derived from streptococcus strain and well known for its duration in vocal cord about 3-6 months after injection. However, there were no complication reports such as infection or rejection after HA injection laryngoplasty in previous report. We present a case of patient with laryngeal abscess after transcricothyroid membrane percutaneous HA injection laryngoplasty.

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경부 신전이 불가한 성대 마비 환자에서 I-Gel$^{TM}$ 후두마스크를 이용한 전신 마취하 성대주입술 증례 (A Case Report of Injection Laryngoplasty Who have Difficulty in Neck Extension Using, an I-Gel Laryngeal Mask Airway)

  • 조광희;정찬민;장철호;최홍식
    • 대한후두음성언어의학회지
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    • 제25권2호
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    • pp.96-98
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    • 2014
  • Injection laryngoplasty is simple and useful procedure in patient with vocal cord paralysis even under local anesthesia. For approaching vocal cord level, flexibility of neck mobility is required to operate injection laryngoplasty but it is relatively difficult to approach vocal cord in patient who has cervical fixations. Laryngeal mask airway (LMA) can be helpful:We use a LMA (I-gel$^{TM}$) during intubation without neck extension on flat supine position under general anesthesia and have a good operation filed. LMA with swivel connector give surgeons better surgical vision and make insertion of fibroscope easily during operation. Hyaluronic acid injection was done use needle (25 G, 5 cm) via percutaneous cricothyroid space : This procedure can be useful method for patients who suffer from not only weak voice but also dysphagia and aspiration high vagal palsy patient after spine surgery or uncooperative with awake injection laryngoplasty.

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말더듬에서 언제 보툴리늄독소주입술이 효과적인가에 관한 연구 (When the Botulinium Toxin Injection Is Effective in Stutters)

  • 안철민
    • 대한후두음성언어의학회지
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    • 제26권1호
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    • pp.46-50
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    • 2015
  • Background and Objectives:Laryngeal hyperkinetic movements of stuttering patients is similar to that of adductor spasmodic dysphonia. There has been studies on implementing botulinium toxin injections to treat stuttering. However, the opinions on the bouolinium toxin injection's effects on stuttering patients vary. In this study authors aim to figure out when the botulinium toxin injection improves stuttering patients. Materials and Methods:Stuttering patients who could receive botulinium toxin injection participated in this study. Age differences, gender differences, electroglottogrphic test, aerodynamic test in botulinium toxin injection treatment of stuttering were analyzed. Results:The botulinium toxin injection had statistically significant impact on patients who showed low mean air flow rate during aerodynamic study. Conclusion:The botulinium toxin injection could reduce stuttering of patients with low mean air flow rate in aerodynamic study.

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성대주입술의 합병증 (Complication of Injection Laryngoplasty)

  • 박영학;김주환
    • 대한후두음성언어의학회지
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    • 제22권1호
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    • pp.13-17
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    • 2011
  • Injection laryngoplasty is one of the most frequently performed procedures in patients with glottic insufficiency. Various materials and injection sites have been used to medialize the true vocal folds. Ideal material would be easily injected through a fine- gauge needle, well tolerated, long lasting and without complications. Although injection laryngoplasty rarely result in complication, physicians must be familiar with the types of complications that can occur. Proper diagnosis and prompt management of complication can result in good outcome.

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