Laryngofissure Approach in Surgical Treatment of Bilateral Abductor Paralysis

Scheer, Alan Austin

doi:10.1001/archotol.1953.00710030192006

Cited by 23 publications

(6 citation statements)

References 6 publications

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“…The overall follow-up period of the combined series was 3 1 / 2 years to 9 years. 10 Granuloma formation most probably occurs secondary to retained carbonaceous debris from the laser operation, although gastroesophageal reflux is another possible cause. Both of our patients who acquired granulomas in their postoperative course were placed on a I-month course of histamine H2 receptor antagonists at the time that their granuloma was excised.…”

Section: Discussionmentioning

confidence: 99%

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Endoscopic Laser Arytenoidectomy Revisited

Ossoff

Duncavage

Krespi³

et al. 1990

Ann Otol Rhinol Laryngol

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Arytenoidectomy is currently the most reliable method of treating patients with bilateral vocal cord paralysis. Although both endoscopic and external approaches have been described, the endoscopic laser technique is more desirable because it requires no incision and allows for the immediate assessment of airway size. Eleven patients with bilateral vocal cord paralysis treated by endoscopic laser arytenoidectomy were presented in 1984. At that time, 10 of the 11 patients had been successfully decannulated. Follow-up on that group of patients revealed that 7 of the 10 successfully treated patients remain decannulated with a good airway, although 2 of these patients required a revision procedure to excise a granuloma. One patient failed at 15 months and has failed two subsequent revision operations, and 2 patients have been lost to follow-up. Since 1984, 17 additional patients with bilateral vocal cord paralysis have been treated by the authors using the same endoscopic laser arytenoidectomy technique; all have been successfully managed, with a minimum follow-up of 3 years. The technique of this operation will be reviewed. This study demonstrates the clinical usefulness of endoscopic laser arytenoidectomy in the treatment of bilateral vocal cord paralysis.

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Section: Discussionmentioning

confidence: 99%

“…Additionally, an intraoperative dose of dexamethasone sodium phosphate (10 mg) was given to all patients in this series. 10 1…”

Section: Methodsmentioning

confidence: 99%

Endoscopic Laser Arytenoidectomy Revisited

Ossoff

Duncavage

Krespi³

et al. 1990

Ann Otol Rhinol Laryngol

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“…Several ways to ensure an adequate airway have been proposed including endotracheal intubation, tracheotomy, laryngeal reinnervation (Tucker, 1989), and lateralisation of the vocal fold. Methods of lateralisation include endoscopic laser arytenoidectomy (Lim, 1985), endoscopic vocal fold laterofixation (Ejnell et al, 1984), anterior laryngofissure (Scheer, 1953), and the external laterocervical approach (Kelly, 1941;Woodmann, 1946;King, 1949). This retrospective report describes and evaluates the results of arytenoidopexy by the laterocervical approach in children with life-threatening bilateral vocal fold paralysis.…”

Section: Introductionmentioning

confidence: 99%

Arytenoidopexy for bilateral vocal fold paralysis in young children

Triglia¹,

Belus²,

Nicollas³

1996

J. Laryngol. Otol.

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The purpose of this retrospective study was to describe and evaluate the results of arytenoidopexy performed by the external laterocervical approach in 15 consecutive children presenting bilateral vocal fold paralysis causing life-threatening airway compromise. Mean age at the time of surgery was 20 months and mean follow-up was 42 months. At the end of follow-up all patients were in good health and did not need special care for breathing. No abduction movement has been observed on the opposite vocal fold since arytenoidopexy. One failure subsequently required arytenoidectomy. The findings of this study suggest that arytenoidopexy is an effective surgical treatment for life-threatening bilateral vocal fold paralysis in young children.

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“…Bilateral cord paralysis can also be managed by the nerve-muscle pedicle reinnervation procedure (Tucker, 1976), or by lateralization of the vocal cord through several approaches: submucous resection of the vocal cord (Hoover, 1932), extralaryngeal arytenoidopexy (King, 1939), extralaryngeal arytenoidectomy (Kelly, 1941;Woodman, 1946), endolaryngeal arytenoidectomy (Thornell, 1948), arytenoidectomy through mid-line thyrotomy (Scheer, 1953), microsurgical arytenoidectomy through mid-line thyrotomy (Helmus, 1972), endoscopic CO 2 laser arytenoidectomy (Strong et al, 1976;Ossoff et al, 1984), endoscopic CO 2 laser posterior cordectomy (Dennis and Kashima, 1989) and endoscopic laterofixation of the vocal cord (Ejnell et al, 1984).…”

Section: Introductionmentioning

confidence: 99%

The role of endoscopic laterofixation of the vocal cord in the treatment of bilateral abductor paralysis

Moustafa¹,

El-Guindy²,

Elsherief³

et al. 1992

J. Laryngol. Otol.

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Different techniques were compared in management of 36 patients with bilateral abductor paralysis of the vocal cords. Ten patients were treated by microsurgical arytenoidectomy through a mid-line thyrotomy, with successful decannulation in only three. Fifteen patients were treated by endolaryngeal microsurgical arytenoidectomy, with failure to decannulate four cases.The procedure of endoscopic laterofixation of the vocal cord was used to treat 11 patients. Ten patients had an adequate long-lasting airway with a socially acceptable voice function. One patient had a revision surgery and was successfully decannulated. The technique was found to be a reliable option in the management of bilateral abductor paralysis. It is a modifiable procedure with a feasibility to adjust the position of the vocal cord under endoscopic control. It can be combined with endolaryngeal arytenoidectomy if the gain in the airway size produced by laterofixation is found insufficient.

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Laryngofissure Approach in Surgical Treatment of Bilateral Abductor Paralysis

Cited by 23 publications

References 6 publications

Endoscopic Laser Arytenoidectomy Revisited

Endoscopic Laser Arytenoidectomy Revisited

Arytenoidopexy for bilateral vocal fold paralysis in young children

The role of endoscopic laterofixation of the vocal cord in the treatment of bilateral abductor paralysis

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