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[Partial posterior cordectomy with laser CO2 in bilateral recurrent paralysis]
A Mérite Drancy1, O Laccourreye, D Brasnu
1Service d'Oto-rhino-laryngologie et de chirurgie cervico-faciale, Université René Descartes, Hôpital Laënnec, Paris.
Summary
Carbon Dioxide Laser Posterior Cordectomy effectively treated bilateral vocal cord abductor paralysis, enabling decannulation in most patients and restoring physiologic respiration. This surgical approach offers advantages over Endoscopic Laser Arytenoidectomy.
Area of Science:
- Otolaryngology
- Surgical Innovation
- Respiratory Medicine
Context:
- Bilateral vocal cord abductor paralysis presents a significant challenge in airway management.
- Tracheostomy is often required for long-term management of such conditions.
- Existing surgical interventions have limitations.
Purpose:
- To evaluate the efficacy of Carbon Dioxide Laser Posterior Cordectomy for treating bilateral vocal cord abductor paralysis.
- To compare the outcomes of this technique with Endoscopic Laser Arytenoidectomy.
- To assess the potential for decannulation and restoration of physiologic respiration.
Summary:
- Thirteen patients with bilateral vocal cord abductor paralysis underwent Carbon Dioxide Laser Posterior Cordectomy.
- Out of seven patients assessed, six were successfully decannulated.
- A remarkable 92% of patients achieved physiologic respiration post-procedure.
Impact:
- Carbon Dioxide Laser Posterior Cordectomy demonstrates high success rates for decannulation and respiratory function restoration.
- This technique offers a viable and potentially superior alternative to Endoscopic Laser Arytenoidectomy.
- Improved patient outcomes and quality of life for individuals with vocal cord paralysis.