A new solution for neonatal bilateral vocal cord paralysis: Endoscopic arytenoid abduction lateropexy

Madani, Shahram; Bach, Ádám; Matievics, Vera; Erdélyi, Eszter; Sztanó, Balázs; Szegesdi, Ilona; Castellanos, Paul F.; Rovó, László

doi:10.1002/lary.26366

Cited by 27 publications

(37 citation statements)

References 21 publications

(35 reference statements)

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“…It can be performed in childhood as well; however, the anatomical configuration of the pediatric glottis required a modification of the original Endolaryngeal Thread Guide Instrument (ETGI) [18]. According to our preliminary results the procedure can be relatively easily performed with low surgical stress even in the first days of life [18]. As our case also showed the results are stable and long-lasting.…”

Section: Discussionmentioning

confidence: 70%

“…The Endoscopic Arytenoid Abduction Lateropexy (EAAL) has already been shown to be safe and effective for the treatment of vocal cord immobility of various etiologies [5,7,8]. It can be performed in childhood as well; however, the anatomical configuration of the pediatric glottis required a modification of the original Endolaryngeal Thread Guide Instrument (ETGI) [18]. According to our preliminary results the procedure can be relatively easily performed with low surgical stress even in the first days of life [18].…”

Section: Discussionmentioning

confidence: 96%

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Endoscopic Arytenoid Abduction Lateropexy for the Treatment of Bilateral Vocal Cord Paralysis in Early Childhood: Case Report

Sztanó¹,

Bach²,

Matievics³

et al. 2018

Am J Otolaryngol Head Neck Surg

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Objectives: The treatment of bilateral vocal cord paralysis in early childhood is really challenging even now a days. One of the treatment options is endoscopic arytenoid abduction lateropexy; a reversible simple suture vocal cord lateralizing technique, the arytenoid cartilage is directly lateralized to normal abducted position. Authors introduce a case of a successfully treated toddler. Methods: The 2.5 years old boy had noisy breathing and dyspnea on exertion since delivery. Laryngo-tracheoscopy revealed bilateral vocal cord paralysis. Unilateral, left-sided endoscopic arytenoid abduction lateropexy was performed with supraglottic jet ventilation. Results: He remained intubated for 3 with an uncuffed tracheal tube. After extubation, no dyspnea or swallowing disorder occurred. During the follow-up laryngo-tracheoscopies, clinical growth charts and voice analysis showed satisfactory functional results. Conclusions: The endoscopic arytenoid abduction lateropexy is a minimally invasive, quick, reversible endoscopic glottis enlarging procedure, which might be a favorable solution for neonatal bilateral vocal cord paralysis even in early childhood. It provides immediately wide airway without any permanent damage to voice production.

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Section: Discussionmentioning

confidence: 70%

Section: Discussionmentioning

confidence: 96%

Endoscopic Arytenoid Abduction Lateropexy for the Treatment of Bilateral Vocal Cord Paralysis in Early Childhood: Case Report

Sztanó¹,

Bach²,

Matievics³

et al. 2018

Am J Otolaryngol Head Neck Surg

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“…In future prospective studies, LEMG should be performed in even more patients with abCBILP, to identify those without full late spontaneous recovery. Such LEMG findings could help the treating physicians to better identify candidates for early laryngeal surgery …”

Section: Discussionmentioning

confidence: 96%

“…Such LEMG findings could help the treating physicians to better identify candidates for early laryngeal surgery. [35][36][37][38]…”

mentioning

confidence: 99%

Prognosis of congenital idiopathic abductor laryngeal paralysis with laryngeal electromyography

Giotakis

Pototschnig

2019

The Laryngoscope

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Objective To assess if laryngeal electromyography could provide additional information in the prognosis of congenital bilateral idiopathic abductor vocal cord paralysis (abCBILP). Methods We performed a retrospective review over a 23‐year period (1995–2018) of all children younger than 13 years old in the Medical University of Innsbruck. Results We identified five infants with abCBILP. Fiberoptic laryngeal endoscopy revealed bilateral vocal cord immobility in adduction without accompanying laryngeal findings. Tracheostomy rate was 100%. Tracheostomy was performed after minimum 3 weeks of non‐improvement with continuous positive airway pressure treatment or intubation. In all patients, repeated laryngeal electromyography revealed volitional activity. All patients showed excellent full late recovery in the second quinquennium of life. Conclusion Presence of volitional activity in laryngeal electromyography could identify patients with excellent prognosis. Prospective laryngeal electromyography studies are required in more patients with abCBILP in order to document laryngeal electromyography findings also by patients with poor late recovery. Patients with poor prognosis could be selected for early laryngeal intervention to avoid tracheostomy‐dependent issues. Level of Evidence 4 Laryngoscope, 130:E252–E257, 2020

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“…Suture laterization can either be performed under visualization endolaryngeally requiring a special laterization instrument (which is not approved by the U.S. Food and Drug Administration) or can be performed exolaryngeally. [2][3][4][5][6] A Lasso technique was devised but accurate prediction of needle trajectory is difficult and multiple approaches can result in tissue injury. 5 The greatest challenge with the transcutaneous lasso technique is precise needle placement.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound‐Guided Suture Lateralization in Pediatric Bilateral Vocal Fold Immobility

2020

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A new solution for neonatal bilateral vocal cord paralysis: Endoscopic arytenoid abduction lateropexy

Abstract: 4. Laryngoscope, 127:1608-1614, 2017.

Cited by 27 publications

References 21 publications

Endoscopic Arytenoid Abduction Lateropexy for the Treatment of Bilateral Vocal Cord Paralysis in Early Childhood: Case Report

Endoscopic Arytenoid Abduction Lateropexy for the Treatment of Bilateral Vocal Cord Paralysis in Early Childhood: Case Report

Prognosis of congenital idiopathic abductor laryngeal paralysis with laryngeal electromyography

Ultrasound‐Guided Suture Lateralization in Pediatric Bilateral Vocal Fold Immobility

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