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Total and Partial Laser Arytenoidectomy for Bilateral Vocal Fold Paralysis
Taner Yılmaz1, Ozan Muzaffer Altuntaş2, Nilda Süslü1
1Department of Otolaryngology-Head and Neck Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Biomed Research International
|November 11, 2016
Summary
Laser arytenoidectomy effectively treats bilateral vocal fold paralysis (BVFP), avoiding tracheotomy in most cases. Partial resection with mucosal flaps offers a precise, functional approach for BVFP management.
Area of Science:
- Otolaryngology
- Laryngeal Surgery
- Vocal Fold Dynamics
Background:
- Bilateral vocal fold paralysis (BVFP) treatment has shifted towards less invasive, function-preserving methods.
- Endolaryngeal laser arytenoidectomy offers modifications like partial resection and mucosa-sparing techniques.
Purpose of the Study:
- To evaluate the efficacy of laser-assisted partial arytenoidectomy in treating BVFP.
- To compare outcomes of partial versus total arytenoidectomy for BVFP.
Main Methods:
- CO2 laser-assisted partial arytenoidectomy with a posteromedially based mucosal flap for primary BVFP.
- Lateral suturing of preserved mucosa to enhance vocal fold tension.
- Total arytenoidectomy reserved for revision cases.
Main Results:
- Arytenoidectomy demonstrates high success rates (90-100%) in avoiding tracheotomy or decannulation for BVFP.
- Both partial and total arytenoidectomies impact phonation and vocal properties.
- Partial and total arytenoidectomies show similar outcomes regarding phonation and swallowing.
Conclusions:
- Arytenoidectomy remains a reliable surgical option for BVFP.
- Laser dissection enables precise surgery and partial arytenoidectomy.
- The described partial arytenoidectomy technique aims to improve voice quality and reduce scarring.
