Vocal and ventricular fold lateralization using crossing sutures with the thyroplasty window technique for bilateral vocal fold immobility: long-term results

Abstract

The mean follow-up period was 23.77 ± 12.01 months. All patients reported marked symptomatic improvement in dyspnoea (p = 0.0001). The voice quality worsened as expected; however, this difference did not reach a significant level (p = 0.642). Transient microaspiration was noted in seven of the patients and resolved in 1 or 2 days. The procedure was performed for the contralateral vocal fold in one case, due to the loss of suture tension. No patient showed aspiration postoperatively or during follow-up. All patients were regularly followed up for the beginning of movement of the lateralized or contralateral vocal folds in our outpatient clinic.

Analysis of the Effectiveness of Arytenoidectomy and Posterior Cordectomy with the Use of CFD Airflow Measurements in Patients with BVFP: A Retrospective Study

“…In most studies, the authors use no scores for the assessment of dyspnea reduction, but rather describe the “improvement” reported by their patients. Only a few studies used subjective Short Form Health Survey (SF-36) or MRC scores [ 8 , 13 , 21 ]. In our study, we used VAS and MRC scales, which are easy for patients to complete.…”

Efficacy of Arytenoidectomy after Suture Lateralisation Failure in Patients with Bilateral Vocal Cord Paralysis

“…In addition, since the procedure is reversible, it is considered advantageous as the traction can be released even when the vocal cord movement recovers in the future. By contrast, the occurrence of restenosis due to tearing or loosening of the thread, which is considered a major problem, has been reported [ 8 , 9 ]. Different methods that prevent suture problems have been assessed [ 10 ].…”

“…The cause of restenosis is not only the problem of pulling thread but also the presence of endolaryngeal soft tissue because tension in the muscle is weaker than that in the vocal cords, and the phenomenon that the vocal cords deviate to the inside of the larynx is also considered. In relation this reason, suture lateralisation of the ventricular fold along with the vocal cords has been proposed [ 8 ]. However, restenosis cannot be completely prevented with such method.…”

Schematization of katilmis technique for Vocal cord lateralization: how we do it?

“…[15] In 2012, we reported long-term results of 17 patients treated with this technique. [16] In this technique, laterofixation of the vocal and ventricular folds could sufficiently relieve airway obstruction, without damaging the laryngeal soft tissues. Another goal of our technique was to accomplish permanent results.…”