Posterior cordectomy and subtotal arytenoidectomy for the treatment of bilateral vocal fold immobility: Functional results

Lawson, Georges; Remacle, Marc; Hamoir, Marc; Jamart, Jacques

doi:10.1016/s0892-1997(96)80013-0

Cited by 38 publications

(17 citation statements)

References 7 publications

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“…The voice quality was not objectively documented in the present report. However, data from Dennis and Kashima 1 and Lawson et al 9 documented the objective good quality of the voice after CO 2 laser EPPTC. Lawson et al 9 also compared the vocal results after CO 2 laser EPPTC and CO 2 laser arytenoidectomy.…”

Section: Discussionmentioning

confidence: 99%

“…Lawson et al 9 also compared the vocal results after CO 2 laser EPPTC and CO 2 laser arytenoidectomy. Although the mean values of the maximum phonation time and phonation quotient were higher if an endoscopic CO 2 laser EPPTC was performed, Lawson et al 9 could not demonstrate any significant statistical differences between the two techniques.…”

Section: Discussionmentioning

confidence: 99%

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CO₂Laser endoscopic posterior partial transverse cordotomy for bilateral paralysis of the vocal fold

et al. 1999

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

CO₂Laser endoscopic posterior partial transverse cordotomy for bilateral paralysis of the vocal fold

et al. 1999

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“…Prolonged or abnormal intubation is the cause of 1–31% of cases of vocal cord immobilization [1, 5, 8], whereas instrumental perinatal traumas are rare [9]. Thyroid surgery is the single most common cause of persistent iatrogenic bilateral cord paralysis and accounts for almost a quarter of all cases [5, 10–15]. The problem occurs in 1% of thyroidectomies; however, it is likely to be more frequent in thyroid cancer surgeries, retrosternal goiter, major intraoperative bleeding, and multiple thyroid surgeries (20–30%) [9, 14, 16, 17].…”

Section: Introductionmentioning

confidence: 99%

Outcomes of CO2 laser-assisted posterior cordectomy in bilateral vocal cord paralysis in 132 cases

et al. 2018

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The purpose of the study was to assess the role of laser-assisted posterior cordectomy in the management of patients with bilateral vocal cord paralysis. We aimed an analysis of 132 consecutive patients treated by CO2 laser posterior cordectomy, aged 38–91, 31% tracheotomized on admission. Cordectomy was performed under microlaryngoscopy using CO2 laser (Lumenis AcuPulse 40 CO2 laser, wavelength 10.6 μm, Lumenis Ltd., Yokneam, Israel). We looked at the number of laser glottic procedures necessary to achieve decannulation in tracheotomized patients and to achieve respiratory comfort in non-tracheotomized subjects and we evaluated the two groups for differences in patient characteristics. In tracheotomized patients, we also assessed factors affecting the success of decannulation and we evaluated the impact of tracheotomy on patients’ lives. Decannulation was performed in 63% of tracheotomized patients. In terms of the number of procedures, 54% (14), 19% (5), and 27% (7) tracheotomized vs. 74% (61), 24% (20), and 2% (2) non-tracheotomized subjects underwent one, two, or three procedures, respectively. In the group of tracheotomized patients who were successfully decannulated, the number of multiple laser-assisted procedures was significantly higher than in the group of non-tracheotomized subjects with respiratory comfort after treatment (p = 0.04). Advanced age (> 66 years), comorbidities (diabetes, gastroesophageal reflux disease (GERD)), multiple thyroid surgeries, and tracheotomy below the cricoid cartilage were found to decrease the likelihood of successful decannulation. Posterior cordectomy is a simple method allowing for airway improvement and decannulation in patients with bilateral vocal cord paralysis. It is less effective in tracheotomized subjects with diabetes or GERD, older than 66 years old, after two or more thyroidectomies.

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“…Dennis and Kashima [6] described the technique of the CO 2 laser cordectomy in adults in 1989. This technique was shown to be as effective as the laser arytenoidectomy for the management of bilateral vocal paralysis in adults [13], the short operative time is interesting for the frail patients [14]. Cordotomy was also better for the functional aspects with better vocal results and reduced risk of post-operative aspiration [15].…”

Section: Discussionmentioning

confidence: 97%

Laser cordotomy for the treatment of bilateral vocal cord paralysis in infants

Lagier

Nicollas

Sanjuan

et al. 2009

International Journal of Pediatric Otorhinolaryngology

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Posterior cordectomy and subtotal arytenoidectomy for the treatment of bilateral vocal fold immobility: Functional results

Cited by 38 publications

References 7 publications

CO₂Laser endoscopic posterior partial transverse cordotomy for bilateral paralysis of the vocal fold

CO₂Laser endoscopic posterior partial transverse cordotomy for bilateral paralysis of the vocal fold

Outcomes of CO2 laser-assisted posterior cordectomy in bilateral vocal cord paralysis in 132 cases

Laser cordotomy for the treatment of bilateral vocal cord paralysis in infants

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Posterior cordectomy and subtotal arytenoidectomy for the treatment of bilateral vocal fold immobility: Functional results

Cited by 38 publications

References 7 publications

CO2Laser endoscopic posterior partial transverse cordotomy for bilateral paralysis of the vocal fold

CO2Laser endoscopic posterior partial transverse cordotomy for bilateral paralysis of the vocal fold

Outcomes of CO2 laser-assisted posterior cordectomy in bilateral vocal cord paralysis in 132 cases

Laser cordotomy for the treatment of bilateral vocal cord paralysis in infants

Contact Info

Product

Resources

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CO₂Laser endoscopic posterior partial transverse cordotomy for bilateral paralysis of the vocal fold

CO₂Laser endoscopic posterior partial transverse cordotomy for bilateral paralysis of the vocal fold