Reconstructive transoral laser microsurgery for posterior glottic web with stenosis

Atallah, I.; Manjunath, Maurya; Omari, Ahmad Al; Righini, Christian; Castellanos, Paul F.

doi:10.1002/lary.26212

Cited by 39 publications

(48 citation statements)

References 20 publications

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“…The postcricoid mucosal advancement flap represents a major advance in managing these patients. It achieves primary vascularised wound closure and can address intraarticular cricoarytenoid joint tethering.…”

Section: Discussionmentioning

confidence: 99%

“…Combined Glottic Reconstruction (CGR) is performed for patients with Type 4b BVFMI, (mature and complete interarytenoid scars; Figure A), in whom the Castellanos procedure is contraindicated owing to poor transoral access or unfavourable posterior glottic anatomy, such as a misshapen or constitutionally small cricoid.…”

Section: Technical Descriptionmentioning

confidence: 99%

“…1 Castellanos described the postcricoid mucosal advancement flap. 2 This endoscopic procedure requires good transoral access and an anatomically favourable cricoid to accommodate flap bulk without compromising the posterior glottic airway. Castellanos describes secondary arytenoid lateralisation and flap debulking procedures to further widen the posterior glottis.…”

Section: Introductionmentioning

confidence: 99%

“…Castellanos described the postcricoid mucosal advancement flap . This endoscopic procedure requires good transoral access and an anatomically favourable cricoid to accommodate flap bulk without compromising the posterior glottic airway.…”

Section: Introductionmentioning

confidence: 99%

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Management of posterior glottic stenosis using the Combined Glottic Reconstruction procedure

Nouraei

Dorman

Vokes

2018

Clinical Otolaryngology

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Section: Discussionmentioning

confidence: 99%

Section: Technical Descriptionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Management of posterior glottic stenosis using the Combined Glottic Reconstruction procedure

Nouraei

Dorman

Vokes

2018

Clinical Otolaryngology

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“…The tension on the vocal fold from the MF seems to work against the effectiveness of the SL procedure. As for this, in the setting of the endoeSL procedure, while Rovo et al 3 released the MF using an endolaryngeal scythe, Lichenberger et al 9 and Castellanos et al 10 treated it using laser arytenoidectomy.…”

Section: Introductionmentioning

confidence: 99%

Suture lateralisation plus arytenoid cartilage release for treating bilateral vocal fold immobility with mechanical fixation

Lan

Liu

2019

Acta Otorhinolaryngol Ital

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SUMMARY A suture lateralisation (SL) instead of an endolaryngeal tissue ablation procedure under endoscopy has been utilised to treat bilateral vocal fold immobility (BVFI) since 1980. However, mechanical fixation (MF) of the cricoarytenoid joint (CAJ) has continually challenged the effectiveness of glottic dilatation both in the SL procedure and the tissue ablation procedure. From 2007 to 2015, a total of 38 patients with BVFI underwent 40 exo-endolaryngeal suture lateralisation (exoeSL) procedures and three were diagnosed with MF in our hospital. For these MF, we introduced an external approach method to release the CAJ followed by a similar exoeSL procedure. The CAJ release procedure enabled the preservation of the endolaryngeal mucous membrane (ELM) and consequently spared the use of laser surgery. All three CAJ release procedures led to decannulations (one patient) or improvement of dyspnoea (two patients). The difference between the exoeSL and the endo-exolaryngeal suture lateralisation (endoeSL) procedure is discussed based on their effectiveness in MF management.

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Transoral silastic medialization for unilateral vocal fold paralysis

2019

Self Cite

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Background Medialization laryngoplasty has historically been performed through an external approach. The aim of our work is to demonstrate the feasibility of silastic vocal fold medialization transorally. Methods Patients with unilateral vocal fold paralysis requiring medialization laryngoplasty were included in this report. Silastic medialization was done through a transoral approach. A supraglottic laryngotomy is performed followed by dissection and tunneling in the paraglottic space. Silastic implant is inserted into the tunnel to medialize the vocal fold and the ipsilateral arytenoid. The laryngotomy is tightly closed by endoscopic sutures. Results A consecutive series of 22 patients are reported. All patients had dysphonia with significant glottic insufficiency. After endoscopic silastic medialization, voice and swallowing were significantly improved (P < .001). No postoperative complications or implant extrusion occurred in our series. Conclusion Silastic vocal fold medialization can be safely and effectively performed through a transoral approach with good results on voice and swallowing.

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Reconstructive transoral laser microsurgery for posterior glottic web with stenosis

Abstract: 4. Laryngoscope, 127:685-690, 2017.

Cited by 39 publications

References 20 publications

Management of posterior glottic stenosis using the Combined Glottic Reconstruction procedure

Management of posterior glottic stenosis using the Combined Glottic Reconstruction procedure

Suture lateralisation plus arytenoid cartilage release for treating bilateral vocal fold immobility with mechanical fixation

Transoral silastic medialization for unilateral vocal fold paralysis

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