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Laser tenotomy and vocal process resection for bilateral midline vocal fold fixation
Thomas E Havas1, K Jocelyn Priestley
1Sydney Voice Clinic, University of New South Wales, Sydney, New South Wales, Australia. thavas@ozemail.com.au
ANZ Journal of Surgery
|May 20, 2003
Summary
Laser assisted muscle tenotomy and vocal process resection effectively treated bilateral vocal fold fixation, restoring airway and voice while preventing aspiration in 21 patients.
Area of Science:
- Otolaryngology
- Laryngology
- Surgical Innovation
Background:
- Retrospective study on 21 patients with laryngeal obstruction.
- Obstruction caused by bilateral vocal fold fixation.
- Utilized a modified Rontal technique from 1994.
Purpose of the Study:
- Evaluate outcomes of laser assisted muscle tenotomy and vocal process resection.
- Assess treatment efficacy for bilateral vocal fold fixation.
- Determine impact on airway, voice, and aspiration.
Main Methods:
- Performed laser assisted muscle tenotomy and vocal process resection.
- Treated 21 patients with bilateral vocal fold fixation.
- Study conducted between January 1997 and March 2002.
Main Results:
- Mean follow-up of 2.3 years.
- Successful airway and voice achieved in all cases.
- No aspiration reported post-treatment.
Conclusions:
- Laser assisted muscle tenotomy and vocal process resection is a proven treatment.
- Provides good airway and voice.
- Effectively avoids aspiration in bilateral medial vocal fold fixation.