両側反回神経麻ひに対するレーザー披裂軟骨切除術

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  • Laser Arytenoidectomy for Bilateral Vocal Fold Paralysis.

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Laser arytenoidectomy can he performed via an intralaryngeal approach which preserves airway and voice quality without aspiration. Laser arytenoidectomy is minimally invasive surgery, and a useful surgical procedure for bilateral vocal fold paralysis. CO2. laser arytenoidectomy was performed for 12 cases of bilateral vocal fold paralysis. <br>Recommended methods for this surgical procedure are: 1) Submucous laser arytenoidectomy should be done. 2) To widen the posterior glottis, not only the arytenoid cartilage but also the posterior part of the thyroarytenoid muscle should be removed. 3) Mernbranous portions of the vocal folds should not be vaporized. 4) The wound should be covered with mucosa with fibrin glue.

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