Botulinum toxin injection - larynx

ʻO Botulimum toxin (BTX) kahi ʻano o ka blocker nerve. Ke injected, ālai ʻo BTX i nā hōʻailona nerve i nā mākala a hoʻomaha lākou.

ʻO BTX ka toxin i kumu i ka botulism, kahi maʻi laha ʻole akā koʻikoʻi. Palekana ia ke hoʻohana ʻia i nā mea liʻiliʻi loa.

Hoʻokomo ʻia ʻo BTX i loko o nā mākala a puni nā kaula leo. Hoʻonāwaliwali kēia i nā mākala a hoʻomaikaʻi i ka maikaʻi o ka leo. ʻAʻole ia he lāʻau no ka dystonia laryngeal, akā hiki ke kōkua i ka hōʻoluʻolu i nā ʻōuli.

I ka hapanui o nā hihia, e loaʻa iā ʻoe nā injection BTX i kāu keʻena ʻoihana olakino. ʻElua ala maʻamau e hoʻokomo iā BTX i ka larynx:

Ma o ka ʻāʻī:

• Loaʻa paha iā ʻoe kahi anesthesia kūloko e ʻōpala ai ia wahi.
• E moe paha ʻoe ma kou kua a noho paha i luna. E hilinaʻi kēia i kāu ʻoluʻolu a me ka makemake o kāu mea hāʻawi.
• E hoʻohana paha kāu mea hāʻawi i kahi mīkini EMG (electromyography). Kākau kahi mīkini EMG i ka neʻe ʻana o kou mākala leo ma o nā uila uila i kau ʻia ma kou ʻili. Kōkua kēia i kāu mea lawelawe e alakaʻi i ka nila kele i kahi kūpono.
• ʻO kekahi hana e pili ana i ka hoʻohana ʻana i ka laryngoscope maʻalahi i hoʻokomo ʻia ma o ka ihu e kōkua ai i ke alakaʻi ʻana i ka nila.

Ma o ka waha:

• Hiki paha iā ʻoe ke anesthesia ākea no laila hiamoe ʻoe i kēia kaʻina hana.
• Loaʻa paha iā ʻoe kahi lāʻau numbing i pīpī ʻia i loko o kou ihu, ʻāʻī, a me ka larynx.
• E hoʻohana kāu mea hāʻawi i kahi nila kuʻupuʻu lōʻihi a wili e hoʻokomo pono i nā mākala kaula leo.
• Hiki i kāu mea hoʻolako ke waiho i kahi kāmela liʻiliʻi (endoscope) i loko o kou waha e alakaʻi i ka nila.

Loaʻa iā ʻoe kēia hana inā ua ʻike ʻia ʻoe me ka dyaryonia laryngeal. ʻO nā injection ʻo BTX ka lapaʻau maʻamau no kēia ʻano.

Hoʻohana ʻia nā injection BTX e mālama i nā pilikia ʻē aʻe i ka pahu leo ​​(larynx). Hoʻohana ʻia lākou e mālama i nā kūlana ʻē aʻe i nā ʻāpana like ʻole o ke kino.

ʻAʻole paha hiki iā ʻoe ke kamaʻilio e pili ana i hoʻokahi hola ma hope o ka hoʻopili ʻana.

Hiki i ka BTX ke hana i kekahi mau hopena ʻaoʻao. I ka hapanui o nā hihia, hala wale kēia mau hopena i kekahi mau lā. ʻO kekahi o nā hopena i loaʻa:

• Kahi kani hanu i kou leo
• Hoarseness
• Mū ka nāwaliwali
• Pilikia i ka ale ʻana
• ʻO ka ʻeha kahi i injected ai ka BTX
• Nā hōʻailona like Flu

I ka hapanui o nā hihia, pono e hoʻomaikaʻi i nā hoʻopili ʻana BTX i kou maikaʻi leo e pili ana i 3 a 4 mau mahina. No ka mālama ʻana i kou leo, pono ʻoe i nā injection i kēlā me kēia mahina.

E noi paha kāu mea hāʻawi iā ʻoe e mālama i kahi diary o kāu mau hōʻailona e ʻike ai i ka maikaʻi a me ka lōʻihi o ka hana ʻana. E kōkua kēia iā ʻoe a me kāu mea hāʻawi e ʻike i ka mahele lāʻau kūpono nāu a hoʻoholo i ka manawa hea ʻoe e pono ai i ka lāʻau.

Laryngoplasty injection; Botox - larynx: spasmodic dysphonia-BTX; Haʻalulu leo ​​nui (EVT) -btx; Ka lawa ʻole o Glottic; Percutaneous electromyography - alakaʻi ʻia botulinum toxin lapaʻau; Percutaneir laryngoscopy ʻole - alakaʻi ʻia botulinum toxin lapaʻau; Pākuʻi dysphonia-BTX; OnabotulinumtoxinA-larynx; AbobotulinumtoxinA

ʻO Akst L. Hoarseness a me ka laryngitis. I: Kellerman RD, Rakel DP, eds. ʻO kā Conn Therapy Therapy 2019. Piladelapia, PA: Elsevier; 2019: 30-35.

ʻO Blitzer A, Sadoughi B, Guardiani E. Nā maʻi Neurologic o ka larynx. I: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2015: chap 58.

ʻO Flint PW. Nā maʻi kīloi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 429.