喉頭
Online ISSN : 2185-4696
Print ISSN : 0915-6127
ISSN-L : 0915-6127
喉頭微細手術下による声門閉鎖術の経験
田山 二朗吉田 克也角田 晃一村上 泰菅澤 正浅井 昌大水野 正浩野村 恭也新美 成二廣瀬 肇
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ジャーナル フリー

1992 年 4 巻 1 号 p. 37-40

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Various surgical techniques have been reported for the treatment of aspiration. Laryngeal closure is one of those methods. Usually it is performed under general anesthesia. However, it is difficult for poor risk patients to undergo this procedure. This paper reports a new method of laryngeal closure which is conducted with the endolaryngeal laryngomicrosurgery technique. Silastic gel (Fycone 6600, Fx82®) is injected in the vocal folds. The vocal fold edges are deepithelized and the bilateral vocal folds are fused by means of fibrinogen (Beriplast P®). This method was successfully conducted in two patients. It is easy to perform and can be completed within a rather short time.
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