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題 名 | 自體脂肪組織聲帶內注射治療單側聲帶麻痺之經驗=Experiences of Autogenous Fat Intracordal Injection for Unilateral Vocal Palsy |
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作 者 | 張欣平; 張學逸; | 書刊名 | 中華民國耳鼻喉科醫學會雜誌 |
卷 期 | 33:5 1998.10[民87.10] |
頁 次 | 頁47-57 |
分類號 | 416.896 |
關鍵詞 | 自體脂肪組織; 聲帶內注射; 單側聲帶麻痺; Autogenous fat; Intracordal injection; Unilateral vocal palsy; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:聲帶內注射是治療單側聲帶麻痺引的聲門閉合不全的重要方法, 但目前可用來注射的物質尚有缺點。自體脂肪組織為可能之新物質,本研究目的欲探討其特 性及療效。方法: 在局部麻醉下,以空針抽取大腿皮下脂肪處理後,於喉纖維內視頻閃鏡導 引下,經口做聲帶內注射,術前及術後定期接受喉纖維內視頻閃鏡錄影及音聲功能評估。結 果:38 例中 36 例完成注射,臨床可用率 94.7%。 術後追蹤時間自第一次注射後二週至第 二次注射後一年不等,手術前後之他人聽覺評估及最長發聲時間有顯著差異,而術後平均值 較近平常。頻閃鏡檢發現療效應來自增大因麻痺而萎縮的聲帶體積,但對改善聲帶突間間隙 無明顯效果,此外注射後對聲帶振動無不良影響。脂肪吸收速度及量因人而異,但注射半年 後即穩定。 9 例接受第二次注射,除 1 例外,術中及術後改變不受前次注射後組織反應之 影響。結論: 此種療法可改善許多患者的聲音症狀,而且效果可長期持續。至少不會造成聲 帶硬化。尤其適於單側聲帶麻痺有聲帶萎縮,但聲帶突間間隙不大的狀況。唯一缺點是會部 分吸收,但可用多量注射及術後禁聲彌補,若有需要亦可用我們提出的方法輕易的再次注射 。它的確可作為另一治療選擇。 |
英文摘要 | Background: Intracordal injection is an important method to correct glottic insufficiency induced by unilateral vocal palsy. However, the present materials available for injection are not perfect. Autogenous fat is a potential material for this purpose. This article will report our experiences on the clinical application of autogenous fat in intracordal injection cases. Methods: Autogenous fat, collected from the subcutaneous fat layer of the thigh by syringe aspiration, was transorally overinjected into the parlayzed cord using a flexible laryngovideostroboscopic guide. All procedures were performed under local anesthesia. Laryngeal videostroboscopy and voice function evaluations were performed pre-and post-operatively. Results; The procedures were completed in 36 of 38 cases, and the clinical applicability was 94.7%. Post-op follow-up time ranged from two weeks to one year after injection. There were singnificant differences in perceptual evaluation and maximum phonation time comparing pre-and post-operative data, and post-operative means were closer to the normal range. Post-operative stroboscopy revealed augmentation of the atrophic paralyzed cord, but persistence. There were no unfavorable effects on the vocal cord vibration. The rate and amount of fat resorption varied among individuals, but the treatment effects stabilized in six months post-injection. For most cases who received the second injection, the intra- and post-operative changes were not different from those seen during the first injections. Conclusions: Autogenous fat intracordal injection will improve voice symptoms long term in many patients. It will not induce stiffness of the injected cord. It is most suitable for the treatment of unilateral vocal palsy when cord atrophy is present but he posterior gap is not big. The primary post-operative problem is resorption of the injected fat. This can be compensated for by over-injection and voice rest. If necessary. repeated injections by the method proposed is easy. It is indeed another choice of treatment for unilateral vocal palsy. |
本系統中英文摘要資訊取自各篇刊載內容。