Thyroplasty甲状软骨成形术.PDFVIP

Coordinating Committee in Otorhinolaryngology Thyroplasty 甲狀軟骨成形術 Effective date: 1 September 2009 Last review date: 13 August 2015 Document no.: PILIC0148 version1.0 Version 1.0 Page 1 of 3 Thyroplasty 甲狀軟骨成形術 Introduction 簡介 Vocal fold medialization to improve glottal closure 聲帶內移以改善聲門閉合 Indications 適合病症 1. Unilateral vocal fold paralysis with dysphonia and / or aspiration 單側聲帶麻痺，發音困難及／或嗆咽 2. Vocal fold atrophy, unilateral or bilateral 單側或雙側聲帶萎縮 3. Localised vocal fold defect or glottal chink 聲帶局部缺損或聲門閉合不全 Intended Benefits and Expected Outcome 預期結果 1. Improvement in sound production 改善發聲 2. Reduce aspiration on feeding 減少嗆食 3. Improvement in glottal efficiency 改善發聲效率 Conditions that Would Not be Benefited by the Procedure 手術不能解決的問題 1. Stiff vocal fold due to posttraumatic scar, previous Telfon injection, previous irradiation, previous laryngeal surgery. 因創傷後瘢痕、以往曾接受鐵氟龍注射、電療及喉部手術而引致聲帶僵硬 The Procedure 手術過程 1. The procedure is performed under local anaesthesia 手術在局部麻醉下進行 2. Make an incision in the neck over the thyroid cartilage 在甲狀軟骨位置切開頸部皮膚 3. Remove a small piece of cartilage from the thyroid cartilage 切除小部分甲狀軟骨 4. Insert a piece of implant into the larynx 把植入物放進喉部 5. May insert a drainage tube into the wound to prevent haematoma formation 可能會在傷口放入小引流管防止血腫形成 Risk and Complication 手術風險和併發症 1. There are always certain side effects and risks of complications of the procedure. Medical staff will take every preventive measure to reduce their likelihood. 手術有一些副作用和併發症風險，醫務人員將盡力減少副作用和併發症風險。 Common Risks and Complications 常見副作用和併發症 1. Bleeding / haematoma 出血／血腫 2. Infection 感染 3. Surgical emphysema 皮下氣腫 4. Airway obstruction 氣道阻塞 5. Extrusion of implant 植入物擠出 6. Persistent or increase hoarseness