外来局麻下手術を行った特発性声帯膜様部橋状癒着症の1例

Abstract

Patients with vocal fold adhesions usually undergo surgery under general anesthesia, because of the possibility of postoperative adhesions according to the severity and cause. However, it has been reported that patients with minor bridging adhesion can be treated by only discission without any postoperative adhesion. Herein, we report the case of a patient with idiopathic bridging vocal fold adhesions who was treated by ambulatory surgery at the ENT clinic and showed a benign course. A male former professional singer who was in his 70s presented with a history of cough followed by the development of bridging central vocal fold adhesion. On the 10th day after the initial visit, we performed discission of the adhesion under local anesthesia using a surgical knife for the vocal fold. Although a delicate surgical technique is desirable for phonosurgery, we were able to perform surgery under local anesthesia in this case, because the adhesion was minor. We consider that endoscopic laryngeal surgery under local anesthesia is useful for the treatment of patients with bridging adhesions.