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J Korean Soc Laryngol Phoniatr Logop > Volume 31(2); 2020 > Article
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2020;31(2): 56-60.
doi: https://doi.org/10.22469/jkslp.2020.31.2.56
외래 시행 성대주입술을 위한 마취 방법
김한수
이화여자대학교 의과대학 이비인후과학교실
Anesthesia for Office Based Vocal Fold Injection
Han Su Kim
Department of Otorhinolaryngology-Head & Neck Surgery, College of Medicine, Ewha Womans University, Seoul, Korea
Correspondence  Han Su Kim ,Tel: +82-2-2650-2686, Fax: +82-2-2655-0983, Email: sevent@ewha.ac.kr
Received: 23 October 2020; Revised: November 13, 2020   Accepted: 16 November 2020.  Published online: 30 December 2020.
ABSTRACT
Vocal fold injections are usually performed with a patient wake in an office under local anesthesia. For comfortable and safe office-based procedures, thorough anesthesia and premedication should be provided to the following three regions; nasal cavity, oropharynx, and larynx. Topical lidocaine is most widely used anesthetics on office based procedure. Lidocaine has a low to intermediate potency, 45 minutes to 60 minutes’ duration of action, and onset of sufficient anesthesia within 90 seconds of topical administration. Tetracaine, prilocaine, ropivacaine, and bupivacaine also have been used in the office-based procedures. Nasal decongestant, oxymetazoline, is also used for widening nasal cavity by constriction of nasal mucosa. The amount of topical and local anesthetics used in vocal fold injection rarely exceeds toxic doses. The physician should know proper anesthesia techniques and must be familiar with the safe dose and complication of all anesthetics used.
KEY WORDS: Vocal cords; Anesthesia; Laryngoplasty; Injection; Lidocaine; Oxymetazoline
중심 단어: 성대, 마취, 후두성형술, 주입, 리도카인, 옥시메타졸린
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