Laterofixation of the vocal fold using an endo-extralaryngeal needle carrier for bilateral vocal fold paralysis

Endo-extralaryngeal Laterofixation of the Vocal Folds in Patients with Bilateral Vocal Fold Immobility

“…Voice impairment also occurred in all patients of this study; however, postoperative voice function was acceptable in all patients. Aspiration is described after laterofixation in some studies (13)(14)(15) but not in others (16)(17)(18) and was not experienced in the patient cohort analyzed here.…”

Suture laterofixation of the vocal fold for bilateral vocal fold immobility

“…Pulmonary function testing including peak inspiratory flow (PIF) rate, peak expiratory flow rate, forced expiratory volume, forced inspiratory volume and resistance of the airways (RAW) has been used to objectively measure airway improvement, which in most patients is excellent, particularly PIF and RAW [28,29]. Airway improvement appears to persist in most patients for at least 12 months [12,15,19,27] but has been seen to last 5 or more years in some series [23,32,33]. Some degree of mild remedialization 418 Laryngology and bronchoesophagology (1-1.5 mm) is common within the first year, although late remedialization can be seen as well [19,23].…”

Objective morphometric analysis of different glottis enlarging procedures and clinical validation by imaging, spirometric assessment and phoniatric panel

“…The procedure was capable of passing a needle and suture endolaryngeally through the thyroid to the skin, significantly simplifying and making more precise the loop creation around the vocal process (16,17,18,41). .…”

“…A dominant synkinetic reinnervation of adductor muscle which may cause an increased medialization force (19,35) might also play role especially in late postoperative remedializations. Suture breakage has been also reported (20,39,41). The need for revision, or secondary procedures, including tracheostomy, in large series varies from 13 to 38% (41,48).…”

“…Suture breakage has been also reported (20,39,41). The need for revision, or secondary procedures, including tracheostomy, in large series varies from 13 to 38% (41,48). Revision surgery may be a bilateral application of the same technique or it can be coupled to additional resection procedures such as submucosal resection of thyroarytenoid muscle or arytenoidectomy.…”