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[Endoscopic CO2 laser arytenoidectomy in the treatment of bilateral vocal cord paralysis].
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1999 Dec; 34(6):365-7.ZE

Abstract

OBJECTIVE

To evaluate endoscopic CO2 laser arytenoidectomy(ECO2LA) for the treatment of bilateral vocal cord paralysis (BVCP).

METHODS

Eight cases have been operated upon and observed for 6 to 40 months. Three of them were extralaryngeal approach artenoidectomy failures. All of them had tracheostomy before. The technique was to modification of Ossoff ECO2LA model. A small part of ventricular fold and posterior part of vocal cord was vaporized by laser. The mucoperichondrium overlying the arytenoid was reserved and sutured. After 3 months the opposite arytenoid was treated similarly.

RESULTS

There were no aspiration and no granulation at the surgical site postoperatively. All cases kept satisfactory voice. Five of 8 patients were decannulated. Two patients still had laryngeal stridor during sleep and they had to plug the tracheotomy tube only on daytime. One patient had cannula retained for waiting operation on the opposite side.

CONCLUSION

ECO2LA is currently a most reliable and efficient technique for treatment of patients with BVCP.

Authors+Show Affiliations

Department of Otorhinolaryngology, Beijing Tongren Hospital, Capital University of Medical Sciences, Beijing 100730.No affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

12764848

Citation

Liu, D, and W Xu. "[Endoscopic CO2 Laser Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis]." Zhonghua Er Bi Yan Hou Ke Za Zhi, vol. 34, no. 6, 1999, pp. 365-7.
Liu D, Xu W. [Endoscopic CO2 laser arytenoidectomy in the treatment of bilateral vocal cord paralysis]. Zhonghua Er Bi Yan Hou Ke Za Zhi. 1999;34(6):365-7.
Liu, D., & Xu, W. (1999). [Endoscopic CO2 laser arytenoidectomy in the treatment of bilateral vocal cord paralysis]. Zhonghua Er Bi Yan Hou Ke Za Zhi, 34(6), 365-7.
Liu D, Xu W. [Endoscopic CO2 Laser Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis]. Zhonghua Er Bi Yan Hou Ke Za Zhi. 1999;34(6):365-7. PubMed PMID: 12764848.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Endoscopic CO2 laser arytenoidectomy in the treatment of bilateral vocal cord paralysis]. AU - Liu,D, AU - Xu,W, PY - 2003/5/27/pubmed PY - 2004/7/9/medline PY - 2003/5/27/entrez SP - 365 EP - 7 JF - Zhonghua er bi yan hou ke za zhi JO - Zhonghua Er Bi Yan Hou Ke Za Zhi VL - 34 IS - 6 N2 - OBJECTIVE: To evaluate endoscopic CO2 laser arytenoidectomy(ECO2LA) for the treatment of bilateral vocal cord paralysis (BVCP). METHODS: Eight cases have been operated upon and observed for 6 to 40 months. Three of them were extralaryngeal approach artenoidectomy failures. All of them had tracheostomy before. The technique was to modification of Ossoff ECO2LA model. A small part of ventricular fold and posterior part of vocal cord was vaporized by laser. The mucoperichondrium overlying the arytenoid was reserved and sutured. After 3 months the opposite arytenoid was treated similarly. RESULTS: There were no aspiration and no granulation at the surgical site postoperatively. All cases kept satisfactory voice. Five of 8 patients were decannulated. Two patients still had laryngeal stridor during sleep and they had to plug the tracheotomy tube only on daytime. One patient had cannula retained for waiting operation on the opposite side. CONCLUSION: ECO2LA is currently a most reliable and efficient technique for treatment of patients with BVCP. SN - 0412-3948 UR - https://www.unboundmedicine.com/medline/citation/12764848/[Endoscopic_CO2_laser_arytenoidectomy_in_the_treatment_of_bilateral_vocal_cord_paralysis]_ L2 - http://www.diseaseinfosearch.org/result/5584 DB - PRIME DP - Unbound Medicine ER -