作者: Thomas Havas , David Lowinger , Jocelyn Priestley
DOI: 10.1046/J.1440-1622.1999.01613.X
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摘要: Background: This study presents the current aetiology of and management options for vocal fold paralysis. Methods: One hundred eight patients with unilateral paralysis, managed by The Sydney Voice Clinic from 1989 to 1996, are reviewed. Aetiology palsy was classified as iatrogenic (45 108), idiopathic (36 108) other defined causes (27 108). Nineteen were observed rest being speech therapy alone (38 surgery (24 or adjuvant Surgical techniques included augmentation (n = 43), thyroplasty 20) laryngeal re-innervation 12). Results: Overall 78 108 had restoration near normal voice an additional 14 attaining a very good better (voice outcome < 2). Conclusions: Early intervention symptomatic found be rewarding safe. Vocal autologous fat particularly successful in achieving sustained improvement voice.