After a difficult left lung cancer operation, Mr. Zhang suffered from dysphagia, choking and hoarseness for three months due to necessary nerve traction and dissection. After examination, he found that the vocal cords were paralyzed and water and food flowed into the trachea. After another elder sister, Wang, was 60 years old, her voice gradually became short and hoarse due to incomplete glottis closure, and she even choked when drinking water. Dr. Cai from Chengda Hospital said that there are many options for the treatment of unilateral vocal cord paralysis and glottis insufficiency, including non-invasive drug therapy, swallowing therapy and speech therapy.
Glottic insufficiency seriously leads to pneumonia.
Dr. Cai Shuwei pointed out that due to the progress of cardiopulmonary surgery, the refinement of cancer treatment, the extension of life expectancy and the aging of the population, more and more choking and hoarseness caused by glottis insufficiency that had not been noticed before have been diagnosed and treated at an early stage. Including: nutritional supplement nursing after cancer surgery is disturbed by choking, and it is impossible to eat smoothly, or relatively healthy silver-haired people have difficulty communicating with others because of hoarseness, or pneumonia is hospitalized because of accidental choking.
Long-term cough with vocal cord paralysis should be cautious.
According to statistics, about 40% patients with unilateral vocal cord paralysis will choke or inhale, while 10% patients with simple glottic insufficiency over 60 years old will have aspiration pneumonia. The so-called choking means that food enters the throat through epiglottis and throat obstruction; Inhalation means that food enters the trachea through the obstruction of vocal cords and throat. In addition to severe acute choking cough, the two often have signs of long-term cough and repeated aspiration pneumonia.
There are many options for treatment, and good treatment can be found early.
Cai stressed that patients with repeated aspiration pneumonia and obvious cough during swallowing examination need surgical treatment, including injection laryngoplasty under local anesthesia endoscope, injection laryngoplasty under general anesthesia microscope, thyroid cartilage plasty under general/local anesthesia and so on.
Dr. Cai reminded that the original cancer or cardiovascular surgery, or simple aging-related glottis, hoarseness, or coughing and swallowing difficulties when drinking or eating, should make necessary diagnosis and continue to pay attention to early warning to avoid swallowing-related respiratory infections. More vicious circle.
Join us and pay attention to your health every day! Line @ ID: @ Subscribe to Health Aloha Audio-visual Channel to read health knowledge more easily: /supply/article/43670 Keywords: voice degeneration, swallowing problem, glottis insufficiency, Chengda Hospital, ENT, Cai.