Laser Lateralization for Bilateral Vocal Cord Abductor Paralysis

Remsen, Kenneth; Lawson, William; Patel, Niroo; Biller, Hugh F.

doi:10.1177/019459988509300514

Cited by 29 publications

(14 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In suture lateralization technique described by Kirchner in 1979 there was a knot inside larynx and the placement of the level of two threads was blind [6]. Probably to overcome this, Remsen et al pulled the inside knot to exteralaryngaeal position by applying tension in one of the free ends from outside [7]. In 1997 Lichtenberger used the endo-extralaryngeal needle carrier for suture lateralization but this required special instruments [8].…”

Section: Discussionmentioning

confidence: 99%

Simple method of vocal cord lateralization in bilateral abductor cord paralysis in paediatric patients

Mathur

Kumar

Bothra

2004

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Simple method of vocal cord lateralization in bilateral abductor cord paralysis in paediatric patients

Mathur

Kumar

Bothra

2004

International Journal of Pediatric Otorhinolaryngology

View full text Add to dashboard Cite

“…Ossoff et al [25] in 1984, Remsen et al [26] in 1985, and Lim [22] in 1985 introduced use of the laser to widen the glottis in abductor vocal cord paralysis.…”

Section: Introductionmentioning

confidence: 99%

Reversible immediate and definitive lateralization of paralyzed vocal cords

Lichtenberger

1999

European Archives of Oto-Rhino-Laryngology

View full text Add to dashboard Cite

The author reports on glottis dilation operations based on the endoextralaryngeal suture technique he has developed. In all, 101 patients were operated on for bilateral recurrent nerve paralysis using different variations of the above method, of which 73 have had more than 1 year of follow-up. Dilation was performed in 52 patients following tracheostomy, whereas no tracheostomy was performed in 21 patients. In 9 cases irreversible laterofixation without tracheostomy was performed with good results. In 12 patients a reversible glottis dilating operation was carried out without tracheostomy not long after the development of bilateral paramedian position of the vocal cords. Tracheostomy was necessary in 1 of 12 patients, who underwent reversible glottis dilating operations. In this case later reoperation, using a definitive endoscopic glottis dilating operation, was performed with success. Three patients required reoperation using open surgical procedures after irreversible endoscopic laterofixation methods.

show abstract

“…Still, when one arytenoid is removed, voice quality is quite often impaired. Therefore, less invasive surgical approaches have been proposed periodically [5,7,39,41]. While voice quality has been better preserved, respiratory function has been unsatisfactory, and more invasive revision surgery is often needed [21].…”

Section: Discussionmentioning

confidence: 99%

CO 2 laser subtotal arytenoidectomy and posterior true and false cordotomy in the treatment of post-thyroidectomy bilateral laryngeal fixation in adduction

Maurizi

Paludetti

Galli

et al. 1999

European Archives of Oto-Rhino-Laryngology

View full text Add to dashboard Cite

A total of 39 patients with bilateral post-thyroidectomy vocal cord paralysis in adduction underwent CO 2 laser subtotal arytenoidectomies with removal of the posterior third of the false and true vocal cords. Total airway resistance (R tot ) evaluated before and 4-10 months after surgery showed marked preoperative impairment before and significant improvement after surgery (P < 0.05). In five patients revision surgery was performed due to a progressive impairment of respiratory function. A variable degree of voice breathiness was observed after surgery; the maximum phonation time mean values were lower than normal and peak sound pressure levels 63 ± 5 dB. In three cases aspiration was present in the first postoperative days, but swallowing dysfunctions disappeared within 1 week. Subtotal arytenoidectomy with removal of the posterior third of the true and false vocal folds was found to be a satisfactory surgical treatment for bilateral vocal cord paralysis in adduction. However, further research is still needed to define the surgical procedure able to balance respiratory, phonatory and sphincteric functions optimally.

show abstract

Laser Lateralization for Bilateral Vocal Cord Abductor Paralysis

Cited by 29 publications

References 16 publications

Simple method of vocal cord lateralization in bilateral abductor cord paralysis in paediatric patients

Simple method of vocal cord lateralization in bilateral abductor cord paralysis in paediatric patients

Reversible immediate and definitive lateralization of paralyzed vocal cords

CO 2 laser subtotal arytenoidectomy and posterior true and false cordotomy in the treatment of post-thyroidectomy bilateral laryngeal fixation in adduction

Contact Info

Product

Resources

About