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Experimental Approaches to Vocal Fold Alteration: Introduction to the Minithyrotomy
- Source :
- Annals of Otology, Rhinology & Laryngology. 108:1-9
- Publication Year :
- 1999
- Publisher :
- SAGE Publications, 1999.
-
Abstract
- Treatment of challenging laryngeal disorders, such as lamina propria loss or neuromuscular dysfunction, may require novel approaches and techniques. This paper discusses an evolution of experimental techniques for treatment of lamina propria loss and use of the minithyrotomy. These techniques have been used for surgical access for lamina propria substitution, as well as placement of stimulating electrodes. The minithyrotomy is tolerated well by patients, provides access for microscopic instruments with the surgeon's hand close to the tissue of interest, avoids intralaryngeal mucosal incisions, and lines up the direction of dissection in an anterior-to-posterior orientation. This orientation is favorable for particular situations herein discussed. We present anatomic and physiologic concepts relevant to the surgical treatment of lamina propria dysfunction, as well as presenting our clinical experience. This paper is not intended to state how these difficult problems should be handled, but rather, to present our experience in techniques that may prove useful through further development.
- Subjects :
- Adult
Male
medicine.medical_specialty
Thyroid Gland
Vocal Cords
Thyrotomy
03 medical and health sciences
0302 clinical medicine
Humans
Medicine
030223 otorhinolaryngology
Surgical treatment
Aged
Lamina propria
business.industry
General Medicine
Electric Stimulation
Electrodes, Implanted
Surgery
Surgical access
Laryngeal Disorder
Dissection
medicine.anatomical_structure
Adipose Tissue
Otorhinolaryngology
030220 oncology & carcinogenesis
Female
Radiology
business
Subjects
Details
- ISSN :
- 1943572X and 00034894
- Volume :
- 108
- Database :
- OpenAIRE
- Journal :
- Annals of Otology, Rhinology & Laryngology
- Accession number :
- edsair.doi.dedup.....aeff20ac2849f4aa770e8a782a5255ba