A Plastic Operation of the Voice Disorder due to the Unilateral Laryngeal Nerve Injury

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  • 一側喉頭神経損傷による音声障害の手術的療法
  • イッソク コウトウ シンケイ ソンショウ ニ ヨル オンセイ ショウガイ ノ シュジュツテキ リョウホウ

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Abstract

The aphonia or hoaseness caused by the paralyses of the vagus or recurrent nerve as a result operation of struma or tumor of cervix, a surgical treatment is required when the compensatory function non-affected side is in sufficient, operative technichs; The inferior margin of thyroid-cartilage and curved portion of the cricoid cartilage were found with silver-wire, and shortend the relative distance.<br>This method was effective in regaining the voice in two examples of the paralysis of recurrent nerve caused by the operation of struma.<br>2) As a modification of Meurman's method, the cartilage of auricule was inside of thyroid cartilage, then the voice was regained.<br>The example was the paralyses of the cerebral nerve, the paralyses of tenth, eleventh and twelveth nerve, caused by the extirpation of benign tumor on the left side of cervix, and the voice kept its resonant sound for three weeks, but later became hoarse. This is regarded as a shortage of cartilage which was inserted.

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