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KMID : 0384019960070010005
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Journal of the Korean Society of Logopedics and Phoniatrics
1996 Volume.7 No. 1 p.5 ~ p.10
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Thyroidectomy with Vocal Cord Medialization
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김광현
최승호/강재구/노종렬/박홍주
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Abstract
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From October 1991 to June 1995, 4 medialization thyroplasties and 1 arytenoid adduction were simultaneously performed with the thyroid surgery when the unilateral recurrent laryngeal nerve was paralyzed before or during thyroidectomy. Four cases
were
papillary carcinoma with direct invasion to the unilateral recurrent laryngeal nerve, and one case was huge adenomatous goiter an the recurrent laryngeal nerve was incidentaly cut. Hoarseness was present preoperatively with mean duration of 15
months
aspiration was also present in three cases. After phonosurgery, voice was improved in 4 out 1of 5 cases and aspiration subsided in 2 out of 3 cases. In one case, hoarseness continued after total thyroidectomy and thyroplasty type I and the
arytenoid
adduction was planned due to posterior glottic gap of 2 mm.
We suggest that the thyroplasty type I or arytenoid adduction are primary phonosurgical procedures which can be performed concomitantly with neck surgeries in the patients with paralysis of the unilateral recurrent laryngeal or vagus nerve damage
during
neck surgeries.
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KEYWORD
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