Surgeon's workshop. Microsurgical trans-laterocervical arytenocordopexy: a modernization of an old surgical technique

The present work is an attempt to add some refinement to the technique of vocal cord laterlization developed by Woodman for the management of bilateral abductor paralysis. The operating microscope is used together with some instruments designed for this operation. The technique follows the same principles introduced by Woodman, with few modifications. The use of the microscope makes dissection more delicate and less traumatic. The mucosa is seldom perforated and haematoma does not collect. These two factors help minimize the chance of wound infection. The lateralizing suture is introduced by a special needle and in the proper position under magnified vision ensuring perfect lateralization of the cord without puncturing the mucosa. The post-operative period is short, the patient is extubated earlier and the cost of treatment less than with the traditional technique. As far as voice is concerned, the results of both techniques are more or less similar.