Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics (대한후두음성언어의학회지)

The Korean Society of Laryngology, Phoniatrics and Logopedics. (대한후두음성언어의학회)
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A Case of Selective Laryngeal Adductor Denervation-Reinnervation Surgery for Adductor Spasmodic Dysphonia

선택적 갑상피열분지 및 측윤상피열분지의 절단과 경신경고리 신경재지배 방법을 이용한 연축성발성장애의 수술적 치료 1례

  • Park, Young-Hak (Department of Otolaryngology-HNS, College of Medicine, The Catholic University of Korea) ;
  • Bae, Seong-Cheon (Department of Otolaryngology-HNS, College of Medicine, The Catholic University of Korea) ;
  • Lee, Seok-Eun (Department of Otolaryngology-HNS, College of Medicine, The Catholic University of Korea) ;
  • Cho, Seune-Ho (Department of Otolaryngology-HNS, College of Medicine, The Catholic University of Korea)
  • 박영학 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 배성천 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 이석은 (가톨릭대학교 의과대학 이비인후과학교실) ;
  • 조승호 (가톨릭대학교 의과대학 이비인후과학교실)
  • Published : 2006.12.15
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Abstract

Spasmodic dysphonia is a voice disorder characterized by involuntary voice breaks during speech. Adductor spasmodic dysphonia is most common and characterized by strained and strangled voice breaks. The current standard of treatment of therapy for adductor spasmodic dysphonia is chemodenervation of thyroarytenoid muscle with botulinum toxin(Botox). However, Botox is a temporary treatment with each injection lasting approximately 3 months on average and require repeated injections. In this study, we report our experience with surgical treatment for adductor spasmodic dysphonia. In this procedure, the thyroarytenoid branch and lateral cricoarytenoid branch of recurrent laryngeal nerve is selectively denervated unilaterally, and its distal nerve stump of thyroarytenoid branch is reinnervated with branch of the usa cervicalis nerve. And lateral cricoarytenoid muscle partial myotomy was done unilaterally. After 6 months of treatment, voice fluency had improved and no period of breathiness or dysphagia was noted.

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