An endolaryngeal method of vertico‐lateral transposition of the vocal cord for bilateral abductor paralysis

Langnickel, R

doi:10.1288/00005537-197607000-00018

Cited by 10 publications

(2 citation statements)

References 12 publications

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“…Leading role for the movement of this neoglottis play the stylopharyngeus and palatopharyngeus muscles, innervated by the pharyngeal plexus. When contracting they push the arytenoid towards the midline and so approximate the ventricular folds (15,17,18). In the surgical technique we use, we consider the suturing of the anterior parts of the ventricular folds to the external perichondrium of the thyroid alae an important point of the operation.…”

Section: Discussionmentioning

confidence: 99%

Arytenoidcordectomy for bilateral vocal cord paralysis: Primary and revision procedure

Zenev¹,

Sapundzhiev

2015

SANAMED

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Background: Definitive enlargement of the glottis with preservation of adequate voicing in patients with bilateral recurrent nerve paralysis remains a surgical challenge especially in patients with previous unsuccessful surgery. Study design: Report of a novel surgical technique for glottis enlargement and presentation of midterm results. Methods: Four adult patients with bilateral recurrent nerve paralysis were subjected to submucosal arytenoidcordectomy through a thyreofissure approach with ventricular folds transposition and long-term translaryngeal stenting. Two of them had had previous surgeries at the glottic level. Preoperative data as well as postoperative functional results are reviewed. Follow-up ranged from 8 to 28 months. Results: In all patients tracheostomy closure was achieved. Midterm follow-up revealed stable airway, adequate for the patients' routine physical activities. Postoperatively patients phonated with the ventricular folds and the resulting voice quality was good. Conclusions: We describe a novel approach for management of impaired airway because of bilateral recurrent nerve paralysis and/or stenosis. It comprises intralaryngeal soft tissue resection, enlargement of the cartilaginous framework of the larynx and long-term translaryngeal stenting. The surgical approach described here proved to be successful both in patients with simple bilateral vocal fold motion impairment and in those, who have been already unsuccessfully treated with other surgery. Nevertheless the technique should be regarded as an option only in complicated revision cases, rather than a primary intervention in bilateral vocal fold paralysis.

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Section: Discussionmentioning

confidence: 99%

Arytenoidcordectomy for bilateral vocal cord paralysis: Primary and revision procedure

Zenev¹,

Sapundzhiev

2015

SANAMED

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“…Among tracheotomized children, 54% to 77% of cases may be decannulated in the weeks/months following the surgical procedure [4,9,[20][21][22]. A tracheotomy is a simple procedure, but it involves a significant burden of care for families and a risk of life-threatening complications, including granulomas, cutaneous lesions, skin infections, cannula obstruction, or accidental decannulation [23][24][25].…”

Section: Transient Proceduresmentioning

confidence: 99%

Management of Pediatric Bilateral Vocal Fold Paralysis: A State-of-the-Art Review of Etiologies, Diagnosis, and Treatments

Lechien

2024

Children

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Objective: This paper reviews the current literature about epidemiology, etiologies, diagnosis, and management of pediatric bilateral vocal fold paralysis (PBVFP). Methods: According to PRISMA statements, a narrative review of the current literature was conducted through the PubMed, Scopus, and Cochrane Library databases about the epidemiology, etiologies, diagnosis, and management of PBVFP. Results: PBVCP is the second most common congenital laryngeal anomaly in the pediatric population, accounting for 10% to 20% of pediatric laryngeal conditions. PBVCP is related to idiopathic (42.2%), congenital (19.7%), and neurological (16.9%) conditions. A tracheotomy is required in 60% of cases regarding stridor and dyspnea, which are the most prevalent symptoms. The diagnosis is based on the etiological features, clinical presentation, laryngoscopic findings, and objective examinations. Laryngeal electromyography may be used to support the diagnosis in difficult cases, but its reliability depends on the practitioner’s experience. The primary differential diagnosis is posterior glottis stenosis, which needs to be excluded regarding therapeutic and management differences with PBVCP. Transient surgical procedures consist of tracheotomy or laterofixation of the vocal fold. Current permanent procedures include uni- or bilateral partial arytenoidectomy, posterior transverse cordotomy, cricoid splits, and laryngeal selective reinnervation. There is no evidence of the superiority of some procedures over others. Conclusions: PBVCP is the second most common laryngeal disorder in the pediatric population. Diagnosis is based on etiological and clinical findings and may require the use of laryngeal electromyography. Therapeutic management may involve several transient or permanent surgical procedures that are associated with overall subjective improvements in symptoms, laryngeal findings, and low complication rates.

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Die beidseitige Rekurrensparese — Glottiserweiternde Eingriffe

Iro¹

1999

HNO Praxis Heute

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An endolaryngeal method of vertico‐lateral transposition of the vocal cord for bilateral abductor paralysis

Cited by 10 publications

References 12 publications

Arytenoidcordectomy for bilateral vocal cord paralysis: Primary and revision procedure

Arytenoidcordectomy for bilateral vocal cord paralysis: Primary and revision procedure

Management of Pediatric Bilateral Vocal Fold Paralysis: A State-of-the-Art Review of Etiologies, Diagnosis, and Treatments

Die beidseitige Rekurrensparese — Glottiserweiternde Eingriffe

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