KMID : 1004320200310010035
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Journal of the Korean Society of Logopedics and Phoniatrics 2020 Volume.31 No. 1 p.35 ~ p.38
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A Case of Thyroarytenoid Myectomy with Selective Recurrent Laryngeal Nerve Section in Intractable Spasmodic Dysphonia: A Long-Term Follow-Up
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Lee Yun-Ji
An You-Young Park Ki-Nam Lee Seung-Won
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Abstract
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Spasmodic dysphonia is a disease presumed to be a form of focal laryngeal dystonia. The widely used first-line treatment is botulinum toxin injection to the thyroarytenoid muscles. In spite of the effectiveness and safety of this method, it has a temporary effect that lasts only several months, resulting the patients¡¯ symptom fluctuating, called ¡®Botox rollercoaster.¡¯ Some surgical techniques had tried, but they had shown several limitations including high rate of recurrence. We tried thyroarytenoid myectomy with selective recurrent laryngeal nerve section in a patient with intractable spasmodic dysphonia. This procedure is an alternative treatment of spasmodic dysphonia to prevent recurrence and improve symptoms. During five years of follow-up, she has shown steady quality voice without any complication. To the best of our knowledgement, this is the longest follow-up case of this operation in South Korea.
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KEYWORD
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Spasmodic dysphonia, Thyroarytenoid myectomy, Botulinum toxin injection
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