To review our experience with endoscopic coblation-assisted and partial arytenoidectomy (ECPA) in treating idiopathic bilateral vocal cord paralysis (BVCP).
A retrospective analysis of thirty-three infants (19 boys and 14 girls, aged 1–10 months) with idiopathic BVCP undergoing ECPA was performed. The therapeutic process and outcomes (surgical success, swallowing function, and voice) were reviewed. The follow-up period was >33 months.
Among the thirty-three infants with idiopathic BVCP, surgery was successful in twenty-nine cases but failed in four cases. Twenty-one, nine, and three patients underwent right, left, and bilateral ECPA, with surgical success rates of 90.5%, 100.0%, and 33.3%, respectively. In addition, four and six cases were combined with subglottic stenosis (SGS) and laryngomalacia, respectively. The surgical success rates of BVCP alone and BVCP+ other airway abnormalities were 95.6% and 70.0%, respectively. During the follow-up, five infants had slight difficulty swallowing, 12 infants had partial or complete recovery movement of at least one vocal cord with satisfactory voice outcome, and five infants had early granuloma formation, which disappeared spontaneously.
ECPA appears to be a promising alternative to tracheostomy and initial management in infants with idiopathic BVCP who are free of other airway abnormalities.
Objective To describe the clinical outcomes of patients who underwent transcervical repair with a posterior cartilage graft for type III laryngotracheoesophageal cleft (LTEC).
Methods A chart view was performed on patients with type III LTEC between May 2017 and May 2022. Demographic features and surgical outcomes were collected and analyzed.
Results Five patients were finally included, and all patients survived and thrived postoperatively. Three patients were able to successfully extubate with acceptable voice, and two patients were tracheostomized. Four patients were deemed safe for all consistencies and one was safe for thickened.
Conclusions An anterior laryngofissure approach to the cleft repair with a posterior cartilage graft is an effective and safe treatment for type III LTEC, whichenables closure of LTEC and reconstruction of cricoid plate in order to avoid tracheoesophageal fistula formation or subglottic stenosis postoperatively. Severe tracheomalacia and GERD are two main causes for surgical failure.
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