前方型披裂軟骨脱臼症の治療経験 甲状軟骨形成術の応用

書誌事項

タイトル別名
  • A Device for Arytenoid Subluxation in Thyroplasty. (Type I).
  • 甲状軟骨形成術の応用

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Arytenoid subluxation is rare in laryngeal trauma. We report the case of a patient who had been complaining of hoarseness, dysphagia and aspiration caused by the antero-medial subluxation of the right arytenoid cartilage. Fiberscopic findings revealed that the right arytenoid cartilage moved antero-medially during phonation. As a surgical treatment, we designed a trianguler cartilage plug collected from the thyroid cartilage. This plug was inserted through the edge of the thyroid cartilage and fixed to the inner surface of the thyroid cartilage by the fibrin paste. After the operation, the arytenoid cartilage was fixed at the median position and glottal closure was improved.

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