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

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 m...

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Bibliographic Details
Published in:Journal of laryngology and otology 1992-01, Vol.106 (1), p.31-34
Main Authors: Moustafa, Hassan, El-Guindy, Ahmed, El-Sherief, Sayed, Targam, Alt
Format: Article
Language:English
Subjects:
Adult
Arytenoid Cartilage - surgery
Biological and medical sciences
Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics
Humans
Laryngoscopy
Main Articles
Medical sciences
Microsurgery - methods
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the upper aerodigestive tract
Vocal cord paralysis
Vocal Cord Paralysis - pathology
Vocal Cord Paralysis - surgery
Vocal Cords - pathology
Vocal Cords - surgery
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Summary: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.
ISSN:0022-2151
1748-5460
DOI:10.1017/S0022215100118523