咽旁间隙感染致声带麻痹一例并文献复习

Vocal Cord Paralysis Caused by Parapharyngeal Space Infection: A Case Report and Literature Review

目的:探讨咽旁间隙感染导致声带麻痹的机理,研究声带麻痹的病因。方法:依照颈部强化CT所示进行一侧颈部切开、开放颈部间隙,切除颈部肌化肿块,解剖喉返神经,充分引流。结果:经过一侧颈部切开,咽旁间隙充分开放引流,解剖喉返神经,患者术后1月声带活动正常。结论:导致声带麻痹的原因很多,往往不可逆,非特异性感染造成的单侧声带麻痹罕见,有一定的可逆性。

Objective:To investigate the mechanism of vocal cord paralysis caused by parapharyngeal space infection and the etiology of vocal cord paralysis.Methods:According to the enhanced neck CT,one side of the neck was cut open and the space between the necks was opened.Results:One side of the neck was cut open;the parapharyngeal space was fully opened for drainage;and the recurrent laryngeal nerve was dissected.Conclusion:There are many causes leading to vocal cord paralysis,and unilateral vocal cord paralysis caused by non-specific infection is rare and reversible.