Die endolaryngeale Lateralfixation des Stimmbandes zur operativen Behandlung der beiderseitigen Recurrensparese

Langnickel, R

doi:10.1007/978-3-642-48834-4_53

Cited by 9 publications

(12 citation statements)

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“…During more extended surgical techniques for bilateral vocal cord paralysis, Langnickel and Koburg (1970) have proposed to resect the posterior end of the vestibular folds in addition to arytenoidectomy. The posterior end of the vocal fold should then be sutured into the resulting defect.…”

Section: Loose Connective Tissue Complexmentioning

confidence: 99%

“…Any attempt to solve the patient's breathing problems should achieve a compromise between an airway sufficient for an active lifestyle and a socially satisfactory voice quality. Most techniques include the resection of the entire or greater part of the arytenoid cartilage (Thornell, 1948;Kleinsasser, 1968;Langnickel and Koburg, 1970;Whicker and Devine, 1972;Kleinsasser and Nolte, 1981;Ossoff et al, 1984Ossoff et al, , 1990Bower et al, 1994;Szmeja and Wó jtowicz, 1995). by Ossoff et al, 1984Ossoff et al, , 1990Eckel et al, 1994;Remacle et al, 1996;Wani et al, 1996).…”

Section: Introductionmentioning

confidence: 99%

“…by Ossoff et al, 1984Ossoff et al, , 1990Eckel et al, 1994;Remacle et al, 1996;Wani et al, 1996). In addition to arytenoidectomy, it has been recommended to resect part of the vocalis muscle (Kleinsasser, 1968;Kleinsasser and Nolte, 1981) or the vestibular fold (Langnickel and Koburg, 1970). Since Thornell (1948), an intralaryngeal approach is preferred, and Ossoff et al (1984) introduced the use of laser.…”

Section: Introductionmentioning

confidence: 99%

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Anatomical bases of glottic widening surgery related to arytenoidectomy

Reidenbach

1999

Clin. Anat.

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Derived from arytenoidectomy, different surgical techniques have been developed for widening the glottis in cases of bilateral vocal cord paralysis. Their anatomical bases were reinvestigated in plastinated serial sections of 25 adult human larynges. At the anterolateral surface of the arytenoid cartilage, blood vessels crossing the crista arcuata may cause bleeding complications. The arytenoid cartilage is related to three major histologic complexes which must be taken into account during surgery. The dense connective tissue complex consists of the cricoarytenoid ligament and the conus elasticus, which are connected ventrocaudally. The cricoarytenoid ligament and the vocal cord are separated by the cartilaginous inscription of the vocal process. The muscular complex consists of the transverse arytenoid muscle, which is the posterior wall of the glottis, and the thyroarytenoid muscle, which is intimately fixed to the conus elasticus near the arytenoid cartilage. The loose connective tissue complex is represented by the vestibular fold, containing adipose tissue, mucous glands, few collagenous fiber septa, and at its posterior end, a small cranial extension of the vocal cord. For glottic widening surgery, the arytenoid cartilage must be regarded as an integrated component of an extended fibro‐cartilaginous framework supporting the laryngeal airway. Shrinking processes of the dense connective tissue elements may complicate surgical interventions. Iatrogenic lesions of the posterior glottis should be avoided to prevent the development of synechia or insufficient closure of the larynx during swallowing. Clin. Anat. 12:94–102, 1999. © 1999 Wiley‐Liss, Inc.

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Section: Loose Connective Tissue Complexmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Anatomical bases of glottic widening surgery related to arytenoidectomy

Reidenbach

1999

Clin. Anat.

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“…These operations and techniques have been summarized, beginning with Dr. Thornell's operation in 1948 [23], in which he did an endolaryngeal arytenoidectomy [1,2,3,4,5,6,7,8,9,10,17,18,19,20,21]. These operations and techniques have been summarized, beginning with Dr. Thornell's operation in 1948 [23], in which he did an endolaryngeal arytenoidectomy [1,2,3,4,5,6,7,8,9,10,17,18,19,20,21].…”

Section: Introductionmentioning

confidence: 99%

Comparison of endoscopic glottis-dilating operations

Lichtenberger

2003

Eur Arch Otorhinolaryngol

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Endoscopic glottis-dilating operations were first utilized in 1948 by Thornell, who performed an endolaryngeal arytenoidectomy. The real breakthrough in these operations was reported by Kleinsasser in 1968. There have been many modifications of the endoscopic glottis dilating operations by other authors over the past 30 years or more. These methods have brought great progress in relieving airway obstruction. However, some disadvantages have reduced the effectiveness of these operations. This study will compare the advantages and disadvantages of the previous methods and compare them to the methods based on the endo-extralaryngeal suture technique by Lichtenberger in the hope that some of the previous ineffectiveness of glottis-dilating operations can be eliminated. These recent endo-extralaryngeal suture techniques consist of two operations. The first operation performed on patients whose vocal cords were paralyzed is an irreversible operation. This was performed with and without arytenoidectomy. These operations were successful in 89 out of 94 patients. The second operation was reversible endo-extralaryngeal lateralization, which was carried out in 37 patients; of these operations, 35 were successful. The operation was performed, and, if the cords remained paralyzed, the suture was not removed. If there was evidence of a return of vocal cord function, the suture was removed, eliminating the need for further dilating operations. The author feels that these two operations are quite successful, because the medial mucous membrane of the vocal cord is preserved, and this avoids the scar and granuloma formation that are characteristic of most other glottic dilating operations.

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“…by Ossoff et al, 1984Ossoff et al, , 1990Eckel et al, 1994;Remacle et al, 1996;Wani et al, 1996). Most techniques include the resection of the entire or greater part of the arytenoid cartilage (Thornell, 1948;Kleinsasser, 1968;Langnickel and Koburg, 1970;Whicker and Devine, 1972;Kleinsasser and Nolte, 1981;Ossoff et al, 1984Ossoff et al, , 1990Bower et al, 1994;Szmeja and Wó jtowicz, 1995). Since Thornell (1948), an intralaryngeal approach is preferred, and Ossoff et al (1984) introduced the use of laser.…”

Section: Introductionmentioning

confidence: 99%

Anatomical bases of glottic widening surgery related to arytenoidectomy

Reidenbach

1999

Clin. Anat.

View full text Add to dashboard Cite

Derived from arytenoidectomy, different surgical techniques have been developed for widening the glottis in cases of bilateral vocal cord paralysis. Their anatomical bases were reinvestigated in plastinated serial sections of 25 adult human larynges. At the anterolateral surface of the arytenoid cartilage, blood vessels crossing the crista arcuata may cause bleeding complications. The arytenoid cartilage is related to three major histologic complexes which must be taken into account during surgery. The dense connective tissue complex consists of the cricoarytenoid ligament and the conus elasticus, which are connected ventrocaudally. The cricoarytenoid ligament and the vocal cord are separated by the cartilaginous inscription of the vocal process. The muscular complex consists of the transverse arytenoid muscle, which is the posterior wall of the glottis, and the thyroarytenoid muscle, which is intimately fixed to the conus elasticus near the arytenoid cartilage. The loose connective tissue complex is represented by the vestibular fold, containing adipose tissue, mucous glands, few collagenous fiber septa, and at its posterior end, a small cranial extension of the vocal cord. For glottic widening surgery, the arytenoid cartilage must be regarded as an integrated component of an extended fibro-cartilaginous framework supporting the laryngeal airway. Shrinking processes of the dense connective tissue elements may complicate surgical interventions. Iatrogenic lesions of the posterior glottis should be avoided to prevent the development of synechia or insufficient closure of the larynx during swallowing.

show abstract

Die endolaryngeale Lateralfixation des Stimmbandes zur operativen Behandlung der beiderseitigen Recurrensparese

Cited by 9 publications

References 1 publication

Anatomical bases of glottic widening surgery related to arytenoidectomy

Anatomical bases of glottic widening surgery related to arytenoidectomy

Comparison of endoscopic glottis-dilating operations

Anatomical bases of glottic widening surgery related to arytenoidectomy

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