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Endoscopic posterior ventricular cordectomy with contact diode laser: how I do it
Stefano Meneghesso1, Roberto Saetti2, Marina Silvestrini2
1Otorhinolaryngology-Head and Neck Department, University Hospital of Verona, Verona, Italy. stefano.meneghesso@studenti.univr.it.
Summary
This study presents a new surgical technique for bilateral vocal fold paralysis, offering improved airway widening. The endoscopic laser cordectomy provides a safe and effective treatment option for patients with breathing difficulties.
Area of Science:
- Otolaryngology
- Surgical Innovation
Background:
- Bilateral vocal fold paralysis necessitates surgical intervention for adequate breathing.
- Concurrent airway narrowing causes require integrated treatment strategies.
Purpose of the Study:
- To describe a novel surgical modification for treating bilateral vocal fold paralysis.
- To evaluate the efficacy of this technique in widening the airway while preserving voice quality.
Main Methods:
- A supraglottic extension of posterior cordectomy to the false homolateral chord was performed.
- Contact diode laser endoscopy was utilized for the procedure.
Main Results:
- The described technique offers further widening of the airway.
- Acceptable voice quality is maintained post-procedure.
Conclusions:
- Endoscopic posterior ventricular cordectomy using a contact diode laser is a safe and viable option.
- This method is particularly beneficial for patients with bilateral vocal fold paralysis and laryngospasm.
