声帯不全麻痺
- 関
- laryngeal paralysis、recurrent laryngeal nerve palsy、vocal cord palsy、vocal cord paralysis
WordNet
- stack in cords; "cord firewood"
- a unit of amount of wood cut for burning; 128 cubic feet
- a cut pile fabric with vertical ribs; usually made of cotton (同)corduroy
- a light insulated conductor for household use (同)electric cord
- a line made of twisted fibers or threads; "the bundle was tied with a cord"
- bind or tie with a cord
- relating to or designed for or using the singing voice; "vocal technique"; "the vocal repertoire"; "organized a vocal group to sing his compositions"
- full of the sound of voices; "a playground vocal with the shouts and laughter of children"
- having or using the power to produce speech or sound; "vocal organs"; "all vocal beings hymned their praise"
- a slight or partial paralysis
- of textiles; having parallel raised lines (同)twilled
PrepTutorEJDIC
- 〈U〉〈C〉『綱,ひも』(stringより太くropeより細い) / 〈U〉〈C〉束縛,きずな / 〈C〉〈U〉(電気の)『コード』,線 / (またchord)〈C〉(動物体の)索状組織,腱(けん) / 〈C〉うね織り,(特に)コールテン;(うね織りの)うね;《複数形で》コールテンのズボン / 〈C〉コード(材木の容積の単位で約6.25m) / …'を'綱(ひも)で縛る
- 『声の』,音声の / 声に出す,口頭の / 《話》(意見などを)遠慮なくしゃべる,口やかましい / (ポピュラー歌手の)ボーカル
- 不全麻痺,局部的運動麻痺
- (驚いて)わあっ,えっ
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/01/29 07:07:49」(JST)
[Wiki en表示]
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This article needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. (February 2012) |
| Vocal cord paresis |
| Classification and external resources |
| ICD-10 |
J38.0 |
| ICD-9 |
478.30 |
| eMedicine |
ent/347 |
| MeSH |
D014826 |
Vocal cord paresis (or paralysis) is weakness of one or both vocal folds. Symptoms of paresis include hoarseness; vocal fatigue; mild to severe reduction in vocal volume; pain in the throat when speaking; shortness of breath; aspiration (food or liquids going down the trachea) with frequent resultant coughing, and in extreme cases may cause death. Gargling fluids may also become difficult. Vocal cord paresis can greatly impact daily life, employment, job choice, social interactions, and leisure time pursuits.
Reduced vocal cord mobility may decrease the effectiveness of coughing, swallowing, or sneezing in removing mucosal wastes from the laryngeal area. The resultant accumulations may allow for viral and bacterial colonization with an increased tendency for infections and throat discomfort.
Some causes of paresis include viral infection; cancer or tumor compressing the recurrent laryngeal nerve; intramuscular tumor limiting vocal fold movement; trauma; compression of the recurrent laryngeal nerve[1] from intubation, or laryngopharyngeal reflux. Cardiac surgery represents a risk to normal voice function as the nerves serving the larynx are routed near the heart. Damage to this nerve during open heart surgery is not uncommon. The recurrent laryngeal nerve also runs in close proximity to the thyroid gland making hoarseness of voice due to partial paralysis an important side effect of thyroid surgery. Neurological diseases such as Parkinson's can deteriorate vocal functions. Paresis may occur from an unknown cause (idiopathic).
Vocal paresis is diagnosed by observing the lack of (or reduced) motion of one or both cords using a laryngoscope. EMG (electromyography) may be used to measure the strength of the neuromuscular signal from the brain to the muscles controlling the vocal folds. This diagnosis can be made by a laryngologist or otolaryngologist with the assistance of a neurologist. In situations involving inflammation, recovery of normal motion of the vocal cords may return spontaneously.
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Contents
- 1 Emotional and stress factors
- 2 Surgical intervention
- 3 References
- 4 External links
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Emotional and stress factors
The onset of vocal dysfunction may not relate to a voice overuse event or an obvious medical complication. Recent emotional events may be implicated in diminishing voice strength and control. Allowing the passage of time along with reduced demands on the voice are appropriate approaches to voice restoration. Referrals for psychological support are common, but it is important to note that numerous psychoactive medications present voice-weakening side effects. Attempting prescription medication treatment for voice weakness may mask exacerbating medical deterioration.
Surgical intervention
In the event of significant voice weakness, surgery may be required to provide temporary or permanent medialization of the vocal cords. These procedures will mechanically move the vocal cord and underlying muscular tissue toward midline (medialize) to allow a stronger "strike" against the opposite vocal cord, thus providing for a stronger and louder voice. The injection of purified animal fat is a temporary means to accomplish medialization. The surgical insertion of "buttons" of sculpted silicone or similar deformable plastic substances just inside the trachea wall will permanently medialize a vocal cord. This procedure is done under local anesthetic, to allow the patient to phonate, thus allowing the surgeon to experiment with the best size and shape of the "button" for maximal remediation. This procedure can be done unilaterally or bilaterally. In all cases, after this surgery, the relaxed position of the vocal cords will allow the passage of less breath than before the medialization. The airway is rendered smaller and this effect must be a significant consideration of the surgeon.
References
- ^ "Recurrent laryngeal nerve paralysis as intubation injury?". PubMed.gov. National Center for Biotechnology Information, U.S. National Library of Medicine. http://www.ncbi.nlm.nih.gov/pubmed/10875011. Retrieved 25 August 2012.
External links
- Overview at Merck Manual
- Overview at Mayo Clinic
- nidcd.nih.gov
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Pathology of respiratory system (J, 460–519), respiratory diseases
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Upper RT
(including URTIs,
Common cold) |
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Head
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- sinuses
- Sinusitis
- nose
- Rhinitis
- Vasomotor rhinitis
- Atrophic rhinitis
- Hay fever
- Nasal polyp
- Rhinorrhea
- nasal septum
- Nasal septum deviation
- Nasal septum perforation
- Nasal septal hematoma
- tonsil
- Tonsillitis
- Adenoid hypertrophy
- Peritonsillar abscess
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Neck
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- pharynx
- Pharyngitis
- Strep throat
- Laryngopharyngeal reflux (LPR)
- Retropharyngeal abscess
- larynx
- Croup
- Laryngitis
- Laryngopharyngeal reflux (LPR)
- Laryngospasm
- vocal folds
- Laryngopharyngeal reflux (LPR)
- Vocal fold nodule
- Vocal cord paresis
- Vocal cord dysfunction
- epiglottis
- Epiglottitis
- trachea
- Tracheitis
- Tracheal stenosis
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Lower RT/lung disease
(including LRTIs) |
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Bronchial/
obstructive
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- acute
- Acute bronchitis
- chronic
- COPD
- Chronic bronchitis
- Acute exacerbations of chronic bronchitis
- Acute exacerbation of COPD
- Emphysema)
- Asthma (Status asthmaticus
- Aspirin-induced
- Exercise-induced
- Bronchiectasis
- unspecified
- Bronchitis
- Bronchiolitis
- Bronchiolitis obliterans
- Diffuse panbronchiolitis
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Interstitial/
restrictive
(fibrosis) |
External agents/
occupational
lung disease |
- Pneumoconiosis
- Asbestosis
- Baritosis
- Bauxite fibrosis
- Berylliosis
- Caplan's syndrome
- Chalicosis
- Coalworker's pneumoconiosis
- Siderosis
- Silicosis
- Talcosis
- Byssinosis
- Hypersensitivity pneumonitis
- Bagassosis
- Bird fancier's lung
- Farmer's lung
- Lycoperdonosis
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Other
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- ARDS
- Pulmonary edema
- Löffler's syndrome/Eosinophilic pneumonia
- Respiratory hypersensitivity
- Allergic bronchopulmonary aspergillosis
- Hamman-Rich syndrome
- Idiopathic pulmonary fibrosis
- Sarcoidosis
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Obstructive or
restrictive
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Pneumonia/
pneumonitis
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By pathogen
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- Viral
- Bacterial
- Atypical bacterial
- Mycoplasma
- Legionnaires' disease
- Chlamydiae
- Fungal
- Parasitic
- noninfectious
- Chemical/Mendelson's syndrome
- Aspiration/Lipid
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By vector/route
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- Community-acquired
- Healthcare-associated
- Hospital-acquired
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By distribution
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IIP
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Other
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- Atelectasis
- circulatory
- Pulmonary hypertension
- Pulmonary embolism
- Lung abscess
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Pleural cavity/
mediastinum |
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Pleural disease
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- Pneumothorax/Hemopneumothorax
- Pleural effusion
- Hemothorax
- Hydrothorax
- Chylothorax
- Empyema/pyothorax
- Malignant
- Fibrothorax
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Mediastinal disease
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- Mediastinitis
- Mediastinal emphysema
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| Other/general |
- Respiratory failure
- Influenza
- SARS
- Idiopathic pulmonary haemosiderosis
- Pulmonary alveolar proteinosis
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anat (n, x, l, c)/phys/devp
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noco (c, p)/cong/tumr, sysi/epon, injr
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proc, drug (R1/2/3/5/6/7)
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UpToDate Contents
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English Journal
- Ortner's syndrome associated with hypertensive cardiac disease.
- Matsuo S, Matsuda E, Suzuki T.SourceDepartment of Otolaryngology, Tottori Prefectural Chuou Hospital, Tottori, Japan. smatsuo@med.tottori-u.ac.jp
- Auris, nasus, larynx.Auris Nasus Larynx.2013 Aug;40(4):420-1. doi: 10.1016/j.anl.2012.08.002. Epub 2012 Oct 12.
- We report an 83-year-old man complaining of hoarseness and dyspnea on exertion for two days. He had stopped taking an antihypertensive drug for three months. Physical examinations on admission revealed the left vocal cord fixed in the paramedian position. Radiological examinations showed severe pulm
- PMID 23068186
- Operative outcomes of robot-assisted transaxillary thyroid surgery for benign thyroid disease: early experience in 50 patients.
- Axente DD, Silaghi H, Silaghi CA, Major ZZ, Micu CM, Constantea NA.SourceVth Surgical Clinic, University of Medicine and Pharmacy "Iuliu Hatieganu", 8, Victor Babes St., 400012, Cluj-Napoca, Romania.
- Langenbeck's archives of surgery / Deutsche Gesellschaft für Chirurgie.Langenbecks Arch Surg.2013 Aug;398(6):887-94. doi: 10.1007/s00423-013-1085-2. Epub 2013 May 23.
- PURPOSE: The main benefits of robot-assisted transaxillary thyroid surgery are to overcome the technical limitations of other endoscopic procedures for this surgical pathology and to avoid any cervical skin incision. This article describes the first experience of a Romanian team with the endoscopic
- PMID 23700070
- Surgical complications and recurrence after central neck dissection in cN0 papillary thyroid carcinoma.
- Ahn D, Sohn JH, Park JY.SourceDepartment of Otorhinolaryngology-Head and Neck Surgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
- Auris, nasus, larynx.Auris Nasus Larynx.2013 Jul 22. pii: S0385-8146(13)00148-X. doi: 10.1016/j.anl.2013.06.002. [Epub ahead of print]
- OBJECTIVES: To evaluate surgical complications and recurrence patterns after central neck dissection (CND) in papillary thyroid carcinoma (PTC).METHODS: A retrospective analysis was performed on 361 patients who underwent total thyroidectomy with or without CND for PTC from 2000 to 2007. Clinicopath
- PMID 23886706
Japanese Journal
- 反回神経分岐部より中枢側に発生した左胸腔内迷走神経原発神経鞘腫の1手術例
- 大野 貴志,鈴木 喜雅,門永 太一
- 日本呼吸器外科学会雑誌 28(6), 730-734, 2014
- 症例は50歳代男性．左前胸部痛を主訴に近医受診した．胸部X線にて，左肺門部異常影を指摘され，当院紹介となった．胸部CTにて大動脈弓部左縁下方に3 cm大の境界明瞭な隔壁構造を伴う多房性嚢胞性腫瘤を認めた．胸部MRIでは，T1WIにて筋と同等の低信号，T2WI及び脂肪抑制像にて不均一な高信号を呈した．縦隔良性腫瘍を疑い，手術の方針とした．手術は右側臥位で，分離肺換気のもと，胸腔鏡補助下に行った．腫瘍 …
- NAID 130004695977
- 球麻痺症状が比較的軽度の時点で高度の声帯麻痺を呈した筋萎縮性側索硬化症の1例
- 症例報告 球麻痺症状が比較的軽度の時点で高度の声帯麻痺を呈した筋萎縮性側索硬化症の1例
Related Links
- Vocal cord paresis (paralysis) is a state when one or both vocal cords/folds are weak. It causes a decrease in vocal cord mobility, which will impact your ability to speak normally.
- Vocal Cord Paralysis Definition Vocal cord paralysis is the inability to move the vocal cords and the resulting loss of vocal cord function. Description The vocal cords are a pair of tough, fibrous bands that lie across the air column in ...
Related Pictures
★リンクテーブル★
[★]
- 関
- laryngoparalysis、recurrent laryngeal nerve palsy、vocal cord palsy、vocal cord paralysis、vocal cord paresis
[★]
- 関
- laryngeal paralysis、recurrent laryngeal nerve palsy、vocal cord paralysis、vocal cord paresis
[★]
反回神経麻痺
- 関
- laryngeal paralysis、vocal cord palsy、vocal cord paralysis、vocal cord paresis
[★]
- 英
- vocal cord paresis
- 関
- 声帯麻痺、喉頭麻痺、反回神経麻痺
[★]
- 関
- chorda、chordae、chordal、code、tendon、trabecula、trabeculae
[★]
- 関
- (n.)precordia 前胸部、(adj.)precordial 前胸部の
[★]
- 関
- phonetic、voice