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Laryngorhinootologie 2005; 84: 201-215
DOI: 10.1055/s-2005-861177
Gestörte Stimme
© Georg Thieme Verlag KG Stuttgart · New York

Gestörte Stimme
Chirurgische Verfahren

T.  Nawka1 , W.  Hosemann1
  • 1 Klinik für HNO-Krankheiten, Kopf- und Halschirurgie der Ernst-Moritz-Arndt-Universität Greifswald (Direktor: Univ.-Prof. Dr. med. W. Hosemann)
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Publication History

Publication Date:
22 April 2005 (online)

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Zusammenfassung

Chirurgische Verfahren zur Stimmverbesserung dienen der Wiederherstellung der Stimmfunktion und damit der lautsprachlichen Kommunikation. Sie umfassen die Mikrophonochirurgie mit direktem und indirektem Zugang, die Laryngoplastiken, laryngeale Injektionen und die chirurgische Reinnervation des Larynx. Grundlagen der modernen Operationstechniken bei Stimmschädigungen sind neu gewonnene Erkenntnisse über den ultrastrukturellen Aufbau der Stimmlippen und die zunehmende Erfahrung vieler Operateure vor dem speziellen Hintergrund der erhöhten sozialen und professionellen Anforderungen an die Stimme. Eine Beeinträchtigung der Kommunikation oder spezifischer künstlerischer Fähigkeiten hat an gesellschaftlicher Bedeutung gewonnen. In der Folge hat sich ein breites Repertoire chirurgischer Verfahren zur Wiederherstellung der Stimmfunktion etabliert. Es sollte den hohen Ansprüchen genügen, die zu Recht an funktionell orientierte invasive Maßnahmen gestellt werden. Eine gestörte oder wiederhergestellte Stimme kann nur mehrdimensional diagnostiziert werden. Die differenzierte Indikationsstellung zur Therapie und die Wahl des geeigneten Verfahrens ergeben sich daraus.

Schlüsselwörter

Arytaenoidadduktion - Mikrolaryngoskopie - Phonochirurgie - Phonomikrochirurgie - Reinke-Ödem - Stimmlippenaugmentation - Stimmlippenknötchen - Stimmlippenlähmung - Stimmlippenpolypen - Thyroplastik

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Univ.-Prof. Dr. med. Tadeus Nawka

Abteilung Phoniatrie und Pädaudiologie, Klinik für HNO-Krankheiten, Kopf- und Halschirurgie der Ernst-Moritz-Arndt-Universität Greifswald

Walther-Rathenau-Straße 43 - 45 · 17487 Greifswald

Email: nawka@uni-greifswald.de