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[CO2 laser endoscopic subtotal arytenoidectomy for bilateral median vocal cord paralysis].
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2003 Aug; 38(4):292-4.ZE

Abstract

OBJECTIVE

To delineate the surgical procedures and correlated techniques for endoscopic subtotal arytenoidectomy, as well as to discuss their applications and clinical outcomes.

METHODS

CO2 Laser endoscopic unilateral arytenoidectomy was performed in eight cases of bilateral median vocal cord paralysis combined with one stage of mucosal micro-anastomosis. All patients suffered from dyspnea in some extent, of which 5 had the history of thyroidectomy and 2 had traumatic causes following esophagectomy and tracheal surgery respectively. One of patient had unknown cause. Six patients had undergone tracheotomy prior to operation or before their referral to our hospital. The airway was evaluated via fibro-optic laryngoscopy, and the voice quality was assessed subjectively by the patients and the surgeon before and after surgery.

RESULTS

Following 5-43 months after the surgery, in all cases the function of airway as well as the acceptable voice quality was successfully restored. The tracheotomy done before operation in six patients was decannulated within the mean time of 44.2 days post-operation.

CONCLUSION

The endoscopic approach for CO2 laser unilateral arytenoidectomy may lead to better restoration of an adequate airway and satisfying phonation without postoperative aspiration. Mucosal micro-anastomosis can prevent the formation of granulation or scar tissue thus promotes the healing processes. This procedure is simpler than other ordinary surgical methods, and could be a satisfactory alternation of treatment for bilateral median vocal cord paralysis.

Authors+Show Affiliations

Department of Otorhinolaryngology Head and Neck Surgery, Peking University First Hospital, Beijing 100034, China. qinyong@public.bta.net.cnNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

14743642

Citation

Qin, Yong, et al. "[CO2 Laser Endoscopic Subtotal Arytenoidectomy for Bilateral Median Vocal Cord Paralysis]." Zhonghua Er Bi Yan Hou Ke Za Zhi, vol. 38, no. 4, 2003, pp. 292-4.
Qin Y, Xiao SF, Wang QG, et al. [CO2 laser endoscopic subtotal arytenoidectomy for bilateral median vocal cord paralysis]. Zhonghua Er Bi Yan Hou Ke Za Zhi. 2003;38(4):292-4.
Qin, Y., Xiao, S. F., Wang, Q. G., Li, Z. G., & Guo, M. (2003). [CO2 laser endoscopic subtotal arytenoidectomy for bilateral median vocal cord paralysis]. Zhonghua Er Bi Yan Hou Ke Za Zhi, 38(4), 292-4.
Qin Y, et al. [CO2 Laser Endoscopic Subtotal Arytenoidectomy for Bilateral Median Vocal Cord Paralysis]. Zhonghua Er Bi Yan Hou Ke Za Zhi. 2003;38(4):292-4. PubMed PMID: 14743642.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [CO2 laser endoscopic subtotal arytenoidectomy for bilateral median vocal cord paralysis]. AU - Qin,Yong, AU - Xiao,Shui-fang, AU - Wang,Quan-gui, AU - Li,Zhi-guang, AU - Guo,Min, PY - 2004/1/28/pubmed PY - 2004/7/23/medline PY - 2004/1/28/entrez SP - 292 EP - 4 JF - Zhonghua er bi yan hou ke za zhi JO - Zhonghua Er Bi Yan Hou Ke Za Zhi VL - 38 IS - 4 N2 - OBJECTIVE: To delineate the surgical procedures and correlated techniques for endoscopic subtotal arytenoidectomy, as well as to discuss their applications and clinical outcomes. METHODS: CO2 Laser endoscopic unilateral arytenoidectomy was performed in eight cases of bilateral median vocal cord paralysis combined with one stage of mucosal micro-anastomosis. All patients suffered from dyspnea in some extent, of which 5 had the history of thyroidectomy and 2 had traumatic causes following esophagectomy and tracheal surgery respectively. One of patient had unknown cause. Six patients had undergone tracheotomy prior to operation or before their referral to our hospital. The airway was evaluated via fibro-optic laryngoscopy, and the voice quality was assessed subjectively by the patients and the surgeon before and after surgery. RESULTS: Following 5-43 months after the surgery, in all cases the function of airway as well as the acceptable voice quality was successfully restored. The tracheotomy done before operation in six patients was decannulated within the mean time of 44.2 days post-operation. CONCLUSION: The endoscopic approach for CO2 laser unilateral arytenoidectomy may lead to better restoration of an adequate airway and satisfying phonation without postoperative aspiration. Mucosal micro-anastomosis can prevent the formation of granulation or scar tissue thus promotes the healing processes. This procedure is simpler than other ordinary surgical methods, and could be a satisfactory alternation of treatment for bilateral median vocal cord paralysis. SN - 0412-3948 UR - https://www.unboundmedicine.com/medline/citation/14743642/[CO2_laser_endoscopic_subtotal_arytenoidectomy_for_bilateral_median_vocal_cord_paralysis]_ L2 - http://www.diseaseinfosearch.org/result/5584 DB - PRIME DP - Unbound Medicine ER -