Partial arytenoidectomy with transoral vocal fold lateralisation in treating airway obstruction secondary to bilateral vocal fold immobility.

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  • Additional Information
    • Source:
      Publisher: Cambridge University Press Country of Publication: England NLM ID: 8706896 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1748-5460 (Electronic) Linking ISSN: 00222151 NLM ISO Abbreviation: J Laryngol Otol Subsets: MEDLINE
    • Publication Information:
      Publication: Cambridge : Cambridge University Press
      Original Publication: London : Headley Brothers,
    • Subject Terms:
      Vocal Cord Paralysis*/surgery ; Airway Obstruction*/etiology; Humans ; Vocal Cords/surgery ; Respiratory Sounds ; Arytenoid Cartilage/surgery
    • Abstract:
      Objective: To report the outcome of 18 patients with a tracheostomy secondary to bilateral vocal fold immobility, who were managed using reconstructive transoral laser microsurgical techniques.
      Methods: A retrospective review was conducted of the surgical outcome of 18 patients with bilateral vocal fold immobility and a tracheostomy resulting from different aetiologies. Follow-up duration ranged from one to five years.
      Results: A total of 18 patients had a tracheostomy at presentation because of bilateral true vocal fold immobility and stridor. All cases were treated using reconstructive transoral laser microsurgery with arytenoidectomy and vocal fold lateralisation. All patients were successfully decannulated by eight weeks after surgery.
      Conclusion: Reconstructive transoral laser microsurgery using partial arytenoidectomy with vocal fold lateralisation is minimally invasive, feasible, safe and effective for airway reconstruction in patients who present with stridor due to bilateral true vocal fold immobility.
    • Contributed Indexing:
      Keywords: Airway Obstruction; Arytenoid Cartilage; Larynx; Laser Surgery; Stridor; Vocal Cords
    • Publication Date:
      Date Created: 20211126 Date Completed: 20230907 Latest Revision: 20230907
    • Publication Date:
      20230907
    • Accession Number:
      10.1017/S002221512100390X
    • Accession Number:
      34823628