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Laser arytenoidectomy.

R Y Lim

    Archives of Otolaryngology (Chicago, Ill. : 1960)
    |April 1, 1985
    PubMed
    Summary

    Endoscopic laser arytenoidectomy effectively treated bilateral vocal cord paralysis, restoring voice and airway. Most patients were decannulated, demonstrating the procedure

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    Area of Science:

    • Otolaryngology
    • Laser Surgery
    • Respiratory Medicine

    Background:

    • Bilateral vocal cord paralysis impairs breathing and voice.
    • Tracheostomy is often required for airway management.
    • Endoscopic surgical options are sought to improve outcomes.

    Purpose of the Study:

    • To evaluate the efficacy of endoscopic laser arytenoidectomy for bilateral abductor vocal cord paralysis.
    • To assess voice quality and laryngeal airway adequacy post-procedure.
    • To determine the need for tracheostomy and decannulation rates.

    Main Methods:

    • Endoscopic laser arytenoidectomy performed on 20 patients.
    • Review of pre- and post-operative tracheostomy status.
    • Assessment of voice and airway function.

    Main Results:

    • All 20 patients achieved satisfactory voice and adequate laryngeal airway.
    • Ten patients with prior tracheostomy were successfully decannulated.
    • One patient required temporary tracheostomy due to edema but was later decannulated.

    Conclusions:

    • Endoscopic laser arytenoidectomy is a safe and effective treatment for bilateral abductor vocal cord paralysis.
    • The procedure facilitates decannulation in previously tracheostomized patients.
    • Advantages include operational ease, hemostasis, minimal edema, and no scarring.

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