Intermediate results of 306 recurrent laryngeal nerve sections for spastic dysphonia.

Autor: Dedo, Herbert H., Izdebski, Krzysztof, Dedo, H H, Izdebski, K
Zdroj: Laryngoscope; 1983, Vol. 93 Issue 1, p9-16, 8p
Abstrakt: Recurrent laryngeal nerve section for spastic dysphonia was first performed in 1975 because prior forms of treatment had failed. Virtually every patient has had a detailed postoperative follow-up which includes a tape recording and a self-assessment questionnaire. The majority of patients remain free of spasticity at this medium-term follow-up. In some, spasticity recurred with less than preoperative severity. A small percentage of patients have a persistent breathy phonation. The first group is treated with vocal fold lateralization procedure using the CO2 laser; the second, with Teflon. When needed, voice therapy is also given. This paper provides a basis for diagnosis, indications for surgery, primary and secondary surgical techniques, encountered problems, and medium-term follow-up results. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index