A comparison between transoral glottis‐widening techniques for bilateral vocal fold immobility

Abstract

N/A.

Rotational thyrotracheopexy after cricoidectomy for low‐grade laryngeal chrondrosarcoma

“…Endoscopic arytenoid abduction lateropexy can effectively address this problem because it has been already demonstrated in cases of bilateral vocal fold immobility. 16,17,33 An adequately wide glottic gap can therefore be produced with this minimally invasive procedure after total cricoidectomy.…”

“…In cases of total cricoidectomy, the lack of the muscles attached to the arytenoid cartilages caused the prolapse of the interarytenoid mucosa and the passive adduction of the vocal folds after removing the soft stent. Therefore, a second operation was performed involving a unilateral (case 4) or bilateral (cases 1, 2) arytenoid lateropexy with a special endolaryngeal thread guide instrument (ETGI; Mega Kft, Szeged, Hungary) . In the same surgery (cases 2, 4), the edema of the supraglottic soft tissue and interarytenoid mucosa was reduced by Ultra Dream Pulse (UDP) CO 2 laser (DS‐40U, Daeshin Enterprise, Seoul, Korea).…”

“…Therefore, a second operation was performed involving a unilateral (case 4) or bilateral (cases 1, 2) arytenoid lateropexy with a special endolaryngeal thread guide instrument (ETGI; Mega Kft, Szeged, Hungary). 16,17 In the same surgery (cases 2, 4), the edema of the supraglottic soft tissue and interarytenoid mucosa was reduced by Ultra Dream Pulse (UDP) CO 2 laser (DS-40U, Daeshin Enterprise, Seoul, Korea).…”

The lasso technique for endoscopic suture lateralization in bilateral vocal fold immobility

“…Surgical techniques can include suture lateralization, transverse cordotomy, arytenoidectomy, arytenoid positioning, posterior glottic split with graft, and tracheotomy. Whereas most are destructive and permanent procedures, suture lateralization has many advantages; such as the preservation of anatomy, shorter hospital stay, maintenance of variable voice outcomes, with temporary improvement and possible avoidance of tracheostomy …”

“…Whereas most are destructive and permanent procedures, suture lateralization has many advantages; such as the preservation of anatomy, shorter hospital stay, maintenance of variable voice outcomes, with temporary improvement and possible avoidance of tracheostomy. 1 Standard suture lateralization involves a suture placed anterior to the vocal process and suspended to the external skin over a cervical button. Although it is simply stated, the procedure technically can be difficult to perform endoscopically.…”