UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

1. 成人における嗄声hoarseness in adults [show details]
… medications are used to treat vocal cord paralysis. However, preliminary studies in patients with acute (<4 months duration) idiopathic or iatrogenic unilateral or bilateral vocal cord paralysis have suggested …
2. Botulinum toxin for treatment of overactive bladder: Injection and complicationsbotulinum toxin for treatment of overactive bladder injection and complications [show details]
…and number of injections for BoNT-A remain unclear in part because multiple injection patterns have been evaluated in studies with small numbers of patients . The concern is that injections into the trigone …
3. Identification and management of tracheobronchial injuries due to blunt or penetrating traumaidentification and management of tracheobronchial injuries due to blunt or penetrating trauma [show details]
… Coexisting injuries include: Vocal cord injury, which is often bilateral ; Injury to the esophagus, which may be transected Vertebral body fractures and spinal cord injury Injury to the carotid …
4. 最初の気管内挿管後に生じる合併症：集中治療室に入院する成人患者への予防とマネージメントcomplications of the endotracheal tube following initial placement prevention and management in adult intensive care unit patients [show details]
… unilateral paralysis, although occasionally, temporary injection of the affected vocal cord can augment the voice while recovery is pending. If vocal cord paralysis is due to arytenoid dislocation , it is generally …
5. 甲状腺切除術　thyroidectomy [show details]
… cord to close off the larynx. A vocal cord paralyzed in the lateral position can be temporarily medialized by injection of fat, silicone, or collagen . In patients with permanent deficits (persisting for …

Japanese Journal

反回神経麻痺に対する音声改善手術の臨床的検討

佐藤慎太郎,高木誠治,杉本俊彦,恒冨今日子,深浦順一,津田邦良,進武幹
耳鼻と臨床 45(5), 493-496, 1999
… 術後検査値を測定し得た症例では、1981年から1998年までの17年間の経皮的声帯内注入法施行群14例、甲状軟骨形成術1型施行群18例のいずれにおいても高い改善率が得られた。 …
NAID 130004404551

喉頭麻痺に対する音声外科の現状と将来

土師知行
音声言語医学 37(2), 251-256, 1996-04-20
… 展望について述べた.<BR>音声外科治療を行うためには声帯麻痺および嗄声の客観的評価が必要で, それをもとに十分なinformed consentを得たうえで治療法を決定する.現在行われているおもな手術法として声帯内注入法, 甲状軟骨形成術, 披裂軟骨内転術があるが, 手術侵襲, 手術の難易度, 治療の効果などそれぞれに長所短所がある.<BR>将来にわたる問題として, 声帯の物性に対するアプローチ, 声帯再運動化の方法, …
NAID 10007698486

反回神経麻痺に対する音声改善手術の臨床的検討

成川圭太,大田健司,深浦順一,柳榮採,前山忠嗣,津田邦良,進武幹
耳鼻と臨床 42(6Supplement3), 977-981, 1996
… 施行した手術は経皮的声帯内注入法が22例, 甲状軟骨形成術1型が15例, および両術式の併用が5例で, ほぼ全例で術式によらない良好な治療成績がみられた. …
NAID 130004404305