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

Published online by Cambridge University Press:  29 June 2007

Hassan Moustafa ,
Ahmed El-Guindy ,
Sayed El-Sherief  and
Alt Targam
Hassan Moustafa
Affiliation:
Tanta, Egypt
Ahmed El-Guindy*
Affiliation:
Tanta, Egypt
Sayed El-Sherief
Affiliation:
Tanta, Egypt
Alt Targam
Affiliation:
Tanta, Egypt
*
Address for correspondence: Dr Ahmed El-Guindy, 57 Said Street, Tanta, Egypt.
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Abstract

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.

Keywords

Vocal cord paralysis
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 106 , Issue 1 , January 1992 , pp. 31 - 34
Copyright
Copyright © JLO (1984) Limited 1992

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References

Dennis, D. P., Kashima, H. (1989) Carbon dioxide laser posterior cordectomy f⊙r treatment of bilateral vocal cord paralysis. Annals of Otology, Rhinology and Laryngology, 98: 930–934.CrossRefGoogle Scholar
Ejnell, H., Mansson, I., Hallen, O., Bake, B., Stenborg, R., Lindstrom, R. (1984) A simple operation for bilateral vocal cord paralysis. Laryngoscope, 94: 954–958.CrossRefGoogle ScholarPubMed
Geterud, A., Ejnell, H., Stenborg, R., Bake, B. (1990) Long-term results with a simple surgical treatment of bilateral vocal cord paralysis. Laryngoscope, 100: 1005–1008.CrossRefGoogle ScholarPubMed
Helmus, C. (1972) Microsurgical thyrotomy and arytenoidectomy for bilateral recurrent laryngeal nerve paraylsis. Laryngoscope, 82: 491–503.CrossRefGoogle Scholar
Hoover, W. B. (1932) Bilateral abductor paralysis, operative treatment of submucous resection of the vocal cord. Archives of Oto-laryngology, 15: 337–355.Google Scholar
Kelly, J. D. (1941) Surgical treatment of bilateral paralysis of abductor muscles. Archives of Otolaryngology, 33: 293–304.CrossRefGoogle Scholar
King, B. T. (1939) A new and function-restoring operation bilateral abductor cord paralysis. Journal of the American Medical Association, 112: 814–823.CrossRefGoogle Scholar
Kirchner, F. R. (1979) Endoscopic lateralization of the vocal cord in abductor paralysis of the larynx. Laryngoscope, 89: 1779–1783.CrossRefGoogle ScholarPubMed
Ossoff, R. H., Sisson, G. A., Moselle, H. I., Duncavage, J., Andrews, P. E., McMillan, W. G. (1984) Endoscopic laser arytenoidectomy for the treatment of bilateral vocal cord paralysis. Laryngoscope, 94: 1293–1297.CrossRefGoogle ScholarPubMed
Ossoff, R. H., Duncavage, J. A., Shapshay, S. M., Krespi, Y., Sisson, G. A. (1990) Endoscopic laser arytenoidectomy revisited. Annals of Otology, Rhinology and Laryngology, 99: 764–771.CrossRefGoogle ScholarPubMed
Scheer, A. A. (1953) Laryngofissure approach in surgical treatment of bilateral abductor paralysis. Archives of Otolaryngology, 57: 173–181.CrossRefGoogle ScholarPubMed
Strong, M. S., Jako, G. V., Vaughan, C. W. (1976) The use of CO2 laser in otolaryngology: progress report. Transactions of American Academy of Ophthalmology and Otolaryngology, 82: 595–602.Google ScholarPubMed
Thornell, W. C. (1948) Intralaryngeal approach for arytenoidectomy in bilateral abductor vocal cord paralysis. Archives of Oto-laryngology, 47: 505–508.CrossRefGoogle Scholar
Tucker, H. M. (1976) Human laryngeal reinnervation. Laryngoscope, 86: 769–779.CrossRefGoogle ScholarPubMed
Tucker, H. M. (1980) Laryngeal paralysis: aetiology and management. In Otolaryngology (English, G. M., ed.) vol. III, Ch.45, Harper and Raw Publishers: Philadelphia. p. 1–11.Google Scholar
Woodman, D. (1946) A modification of the extralaryngeal approach to arytenoidectomy for bilateral abductor paralysis. Archives of Otolaryngology, 43: 63–65.CrossRefGoogle ScholarPubMed