KMID : 1004320140250020096
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Journal of the Korean Society of Logopedics and Phoniatrics 2014 Volume.25 No. 2 p.96 ~ p.98
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A Case Report of Injection Laryngoplasty Who have Difficulty in Neck Extension Using, an I-Gel Laryngeal Mask Airway
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Jo Kwang-Hee
Jung Chan-Min Chang Chul-Ho Choi Hong-Shik
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Abstract
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Injection laryngoplasty is simple and useful procedure in patient with vocal cord paralysis even under local anesthesia. For approaching vocal cord level, flexibility of neck mobility is required to operate injection laryngoplasty but it is relatively difficult to approach vocal cord in patient who has cervical fixations. Laryngeal mask airway (LMA) can be helpful:We use a LMA (I-gel) during intubation without neck extension on flat supine position under general anesthesia and have a good operation filed. LMA with swivel connector give surgeons better surgical vision and make insertion of fibroscope easily during operation. Hyaluronic acid injection was done use needle (25 G, 5 cm) via percutaneous cricothyroid space : This procedure can be useful method for patients who suffer from not only weak voice but also dysphagia and aspiration high vagal palsy patient after spine surgery or uncooperative with awake injection laryngoplasty.
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KEYWORD
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Laryngeal mask airway, Injection laryngoplasty, Vocal cord paralysis
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