대한후두음성언어의학회지 (Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics)
- 제25권2호
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- Pages.90-95
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- 2014
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- 2508-268X(pISSN)
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- 2508-5603(eISSN)
측방접근법을 이용한 피열연골내전술
Arytenoid Adduction by Lateral Approach
- 이낙준 (성균관대학교 의과대학 삼성서울병원 이비인후과학교실) ;
- 조정규 (성균관대학교 의과대학 삼성서울병원 이비인후과학교실) ;
- 김한결 (성균관대학교 의과대학 삼성서울병원 이비인후과학교실) ;
- 윤영선 (성균관대학교 의과대학 삼성서울병원 이비인후과학교실) ;
- 손영익 (성균관대학교 의과대학 삼성서울병원 이비인후과학교실)
- Lee, Nak-Joon (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
- Cho, Jungkyu (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
- Kim, Han-Kyeol (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
- Yun, Young-Sun (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
- Son, Young-Ik (Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
- 투고 : 2014.11.30
- 심사 : 2014.12.08
- 발행 : 2014.12.31
초록
Background and Objectives : Arytenoid adduction procedure is one of the main surgical options addressed for the correction of glottal incompetence in patients with unilateral vocal cord paralysis. Traditionally, a midline approach is used for identifying and suturing around the muscular process, which often needs over-traction of the thyroid cartilage and results in patient's discomfort as well as surgeon's distress. The authors investigated the advantage of a modified procedure, lateral approach, in which the arytenoid cartilage is exposed through the space between strap muscles and sternocleidomastoid muscle. Materials and Methods : Retrospective chart review was performed for 66 patients who received arytenoid adduction surgery at Samsung Medical Center, between the year 1997 and 2014. Operation time, types of anesthesia, voice outcomes and complications were compared between the midline (n=22) and the lateral (n=44) approach group. Results : Operation time was shorter in the lateral approach group (
키워드