Experiencia clínica en el manejo de parálisis cordales en posición abierta: tratamiento actual / Clinical experience in the management of vocal cords paralysis in abduction position: actual treatment
Rev. Hosp. Clin. Univ. Chile
; 19(2): 97-104, 2008. tab, graf
Artigo
em Espanhol
| LILACS
| ID: lil-530290
Biblioteca responsável:
CL36.1
ABSTRACT
Introduction:
The larynx is nerved by the recurrent and superior laryngeal nerves, translating its damage in pareses or paralysis of vocal cords, causing hoarseness in most of patients, and occasionally dispnea and deglutory alterations. The management of vocal cords paralysis in abduction position has been controversial. It seems that phoniatric treatment would seem to be a reasonable and effective alternative because the compensation capacity. Surgical manage, in other hand, has offered demonstrated effectiveness in the paralyses that dont respond to phoniatric treatment, emphasizing techniques of medialization thiroplasty.Objectives:
To reflect our epidemiology, phoniatric manage and experience as surgical team in medialization hiroplasty and to evaluate the results. Materials andMethods:
retrospective study of patients with vocal cord paralysis in abduction position evaluated in Voice Unit of Clinic Hospital of University of Chile. Complete otolaryngological evaluation plus laryngeal electromyography were performed. Two groups were analyzed according manage received, describing clinicallythe degree of hoarseness at the beginning and the end of treatment.Results:
61 percent of the nonsurgical manage paralysis causes were secondary to surgery, mainly on the thyroid gland (81 percent). In these a significant improvement of the hoarseness with the phoniatric manage exists. In the group subject medialization thiroplasty 55 percent were secondary to surgery with a 77 percent of postoperating satisfactory evaluation.
Texto completo:
Disponível
Coleções:
Bases de dados internacionais
Base de dados:
LILACS
Assunto principal:
Paralisia das Pregas Vocais
Tipo de estudo:
Estudo de etiologia
/
Estudo observacional
/
Fatores de risco
Limite:
Adulto
/
Idoso
/
Idoso, 80 anos ou mais
/
Feminino
/
Humanos
/
Masculino
País/Região como assunto:
América do Sul
/
Chile
Idioma:
Espanhol
Revista:
Rev. Hosp. Clin. Univ. Chile
Assunto da revista:
Medicina
Ano de publicação:
2008
Tipo de documento:
Artigo
País de afiliação:
Chile
Instituição/País de afiliação:
Universidad de Chile/CL