Management of bilateral abductor paralysis: posterior cordectomy with partial arytenoidectomy using diode laser

El-Sobki, Ahmed; El-Deeb, Mohamed E; El-Kholy, Noha Ahmed; Elzayat, Saad

doi:10.1007/s00405-020-06492-9

Cited by 4 publications

(8 citation statements)

References 23 publications

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“…Parallel to El-Sobki et al [ 24 ], the MPT significantly decreased from 8.04 ± 0.978 preoperatively to 6.92 ± 0.997 postoperatively ( p < 0.001). The MPT averaged 6.57 s with a median of 6 s as opposed to 10 s postoperative in Plouin-Gaudon et al [ 26 ].…”

Section: Discussionsupporting

confidence: 62%

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Surgical management of laryngeal bilateral abductor palsy: comparative study between carbon dioxide and diode lasers

et al. 2022

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This study aims to compare the results of both CO2 laser and diode laser combined arytenoidectomy with posterior cordectomy in managing patients with bilateral vocal fold paralysis. A prospective study involved 80 bilateral vocal cord immobility patients in adduction. They are divided into two groups according to the laser used, whether CO2 (with a wavelength of 10.6 µm) or diode (with a wavelength of 980 nm). We used mMRC (Modified Medical Research Council) dyspnea scale to assess dyspnea in our patients, while the voice was evaluated by both maximum phonation time and the voice handicap index. Quantitative variables were described using means and standard deviations, while categorical variables were described using frequencies and were compared using the chi-square test, Fisher exact test, and Monte Carlo test. There was a statistically non-significant difference between the studied groups regarding mMRC dyspnea scale and Voice Handicap Index preoperatively and postoperatively. There is a statistically significant difference between the two groups regarding maximum phonation time postoperatively (significantly higher in the CO2 laser group) (p < 0.001). The CO2 laser and diode laser could be used safely for the management of bilateral vocal cord paralysis. The CO2 laser maintains better voice parameters and less postoperative pain, while the diode laser gives less operative time, lower cost, and simplicity of use.

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Section: Discussionsupporting

confidence: 62%

“…Going with El-Sobki et al [ 24 ], who used the VHI to assess the patient’s self-evaluation of voice handicap in a diode laser cordectomy with arytenoidectomy. They found no significant difference between the score preoperatively and postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of laryngeal bilateral abductor palsy: comparative study between carbon dioxide and diode lasers

et al. 2022

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“…Etiologies of BVCP were available in 36 papers (Table 1). 18‐54 Surgical procedures were known for a long‐time as responsible for most of the cases of BVFP. The data of studies were pooled to highlight the main etiologies of BVFP (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Chest and head and neck cancers that may lead to BVFP are related to thyroid (68.4%), 18,22 larynx (15.7%), 18 lung (5.3%), 27 esophagus (5.3%), 40 or may consist of bilateral neck metastases (5.3%). 22 The other etiologies of BVFP are congenital (1.2%), 22,27,32 infectious (postviral, 19,25 or tuberculosis 27 ), ischemic (strangulation, 0.3%), 19,24 or inflammatory (Wegener). 32 Radiation 28,33 and prolonged intubation 24,25,32,38 were suggested as potential etiologies of BVFP but authors included patients with bilateral vocal fold immobility, which may include posterior glottic stenoses.…”

Section: Etiologiesmentioning

confidence: 99%

“…22 The other etiologies of BVFP are congenital (1.2%), 22,27,32 infectious (postviral, 19,25 or tuberculosis 27 ), ischemic (strangulation, 0.3%), 19,24 or inflammatory (Wegener). 32 Radiation 28,33 and prolonged intubation 24,25,32,38 were suggested as potential etiologies of BVFP but authors included patients with bilateral vocal fold immobility, which may include posterior glottic stenoses.…”

Section: Etiologiesmentioning

confidence: 99%

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Management of Bilateral Vocal Fold Paralysis: A Systematic Review

Lechien,

Hans,

Mau

2023

Otolaryngol.--head neck surg.

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ObjectiveTo review the current literature about epidemiology, etiologies and surgical management of bilateral vocal fold paralysis (BVFP).Data SourcesPubMED, Scopus, and Cochrane Library.Review MethodsA systematic review of the literature on epidemiology, etiologies, and management of adult patients with BVFP was conducted through preferred reporting items for systematic reviews and meta‐analyses statements by 2 investigators.ResultsOf the 360 identified papers, 245 were screened, and of these 55 were considered for review. The majority (76.6%) of BVFP cases are iatrogenic. BVFP requires immediate tracheotomy in 36.2% of cases. Laterofixation of the vocal fold was described in 9 studies and is a cost‐effective alternative procedure to tracheotomy while awaiting potential recovery. Unilateral and bilateral posterior transverse cordotomy outcomes were reported in 9 and 7 studies, respectively. Both approaches are associated with a 95.1% decannulation rate, adequate airway volume, but voice quality worsening. Unilateral/bilateral partial arytenoidectomy data were described in 4 studies, which reported lower decannulation rate (83%) and better voice quality outcome than cordotomy. Revision rates and complications vary across studies, with complications mainly involving edema, granuloma, fibrosis, and scarring. Selective posterior cricoarytenoid reinnervation is being performed by more surgeons and should be a promising addition to the BVFP surgical armamentarium.ConclusionDepending on techniques, the management of BVFP may be associated with several degrees of airway improvements while worsened or unchanged voice quality. The heterogeneity between studies, the lack of large‐cohort controlled randomized studies and the confusion with posterior glottic stenosis limit the draw of clear conclusion about the superiority of some techniques over others.

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Whether is the double flap tympanoplasty necessary for endoscopic tympanoplasty?

Zhu¹

2020

Eur Arch Otorhinolaryngol

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Management of bilateral abductor paralysis: posterior cordectomy with partial arytenoidectomy using diode laser

Cited by 4 publications

References 23 publications

Surgical management of laryngeal bilateral abductor palsy: comparative study between carbon dioxide and diode lasers

Surgical management of laryngeal bilateral abductor palsy: comparative study between carbon dioxide and diode lasers

Management of Bilateral Vocal Fold Paralysis: A Systematic Review

Whether is the double flap tympanoplasty necessary for endoscopic tympanoplasty?

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