Principles and Complications of Laryngeal Framework Surgery

Moon, Jeong-Hwan; Son, Young-Ik

J Korean Soc Laryngol Phoniatr Logop > Volume 22(1); 2011 > Article

Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics 2011;22(1): 18-22.

후두골격수술의 원칙 및 합병증

문정환, 손영익

성균관대학교 의과대학 삼성서울병원 이비인후과학교실

Principles and Complications of Laryngeal Framework Surgery

Jeong-Hwan Moon, Young-Ik Son

Department of Otorhinolaryngology-Head and Neck Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine

ABSTRACT

Laryngeal framework surgery comprises medialization laryngoplasty and arytenoid adduction. Since their introduction in the 1970s, these procedures have become standard treatments for vocal fold paralysis and glottal incompetence. However, frequency of laryngeal framework surgery is conjectured to relatively decrease along with the introduction of injection laryngoplasty. In this manuscript, indications for laryngeal framework surgery were highlighted in contrast to those of injection laryngoplasty. The authors introduced the basic concepts and principles as well as surgical techniques of laryngeal framework surgery. Even though the incidence of major and/or minor complications after laryngeal framework surgery is not high, surgeons should be well aware of its possible complications and they should be familiar with tips and know-how to avoid or cope with complications.

KEY WORDS： Laryngeal framework surgery;Vocal fold paralysis;Medialization thyroplasty;Arytenoids adduction;Complication;

중심 단어： 후두골격수술;성대마비;성대내전술;피열연골내전술;합병증;