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Glottic airway gain after 'suture arytenoid laterofixation' in bilateral vocal cord paralysis.
Acta Otolaryngol. 2015 Sep; 135(9):931-6.AO

Abstract

CONCLUSION

This method is an easy, non-expensive, and effective technique in bilateral vocal cord paralysis to improve glottic airway and clinical performance.

OBJECTIVE

To evaluate the effectiveness of 'suture arytenoid laterofixation' surgery in bilateral vocal cord paralysis.

MATERIALS AND METHODS

A retrospective analysis of patients' medical history undergoing 'suture arytenoid laterofixation' surgery for bilateral vocal cord paralysis. This technique was applied under general anesthesia with both microlaryngoscopy and video-monitoring. Two 16 g needles and one 1/0 nylon thread were used for the procedure with 1 cm skin incision; no tracheotomy or tissue excision was required. Pre-post-operative photographs of the glottic region were taken from the endoscopic records, and the areas of rima glottis openings were calculated with the Image-J programme.

RESULTS

Forty-seven patients were analyzed. The mean pre-post-operative rima glottis areas were 1.11 ± 0.56 and 2.24 ± 0.93 mm(2), respectively (p < 0.001). Five patients with previous tracheotomy were decannulated within a few days after the operation. In three patients, mild complications developed in the early post-operative period (two laryngeal edemas, one submucosal hematoma). Tracheotomy was performed to only one pregnant patient in the post-operative first day. None of the patients had granulation formation or synechia.

Authors+Show Affiliations

Department of Otolaryngology and Head & Neck Surgery, Medical Faculty, Yıldırım Beyazıt University , Ankara , Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25925482

Citation

Korkmaz, Mehmet Hakan, et al. "Glottic Airway Gain After 'suture Arytenoid Laterofixation' in Bilateral Vocal Cord Paralysis." Acta Oto-laryngologica, vol. 135, no. 9, 2015, pp. 931-6.
Korkmaz MH, Bayır Ö, Tatar EÇ, et al. Glottic airway gain after 'suture arytenoid laterofixation' in bilateral vocal cord paralysis. Acta Otolaryngol. 2015;135(9):931-6.
Korkmaz, M. H., Bayır, Ö., Tatar, E. Ç., Saylam, G., Öcal, B., Keseroğlu, K., & Özdek, A. (2015). Glottic airway gain after 'suture arytenoid laterofixation' in bilateral vocal cord paralysis. Acta Oto-laryngologica, 135(9), 931-6. https://doi.org/10.3109/00016489.2015.1042554
Korkmaz MH, et al. Glottic Airway Gain After 'suture Arytenoid Laterofixation' in Bilateral Vocal Cord Paralysis. Acta Otolaryngol. 2015;135(9):931-6. PubMed PMID: 25925482.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Glottic airway gain after 'suture arytenoid laterofixation' in bilateral vocal cord paralysis. AU - Korkmaz,Mehmet Hakan, AU - Bayır,Ömer, AU - Tatar,Emel Çadallı, AU - Saylam,Güleser, AU - Öcal,Bülent, AU - Keseroğlu,Kemal, AU - Özdek,Ali, Y1 - 2015/04/30/ PY - 2015/5/1/entrez PY - 2015/5/1/pubmed PY - 2016/5/7/medline KW - Bilateral vocal cord paralysis KW - arytenoid KW - lateralization KW - laterofixation KW - suture arytenoid laterofixation SP - 931 EP - 6 JF - Acta oto-laryngologica JO - Acta Otolaryngol VL - 135 IS - 9 N2 - CONCLUSION: This method is an easy, non-expensive, and effective technique in bilateral vocal cord paralysis to improve glottic airway and clinical performance. OBJECTIVE: To evaluate the effectiveness of 'suture arytenoid laterofixation' surgery in bilateral vocal cord paralysis. MATERIALS AND METHODS: A retrospective analysis of patients' medical history undergoing 'suture arytenoid laterofixation' surgery for bilateral vocal cord paralysis. This technique was applied under general anesthesia with both microlaryngoscopy and video-monitoring. Two 16 g needles and one 1/0 nylon thread were used for the procedure with 1 cm skin incision; no tracheotomy or tissue excision was required. Pre-post-operative photographs of the glottic region were taken from the endoscopic records, and the areas of rima glottis openings were calculated with the Image-J programme. RESULTS: Forty-seven patients were analyzed. The mean pre-post-operative rima glottis areas were 1.11 ± 0.56 and 2.24 ± 0.93 mm(2), respectively (p < 0.001). Five patients with previous tracheotomy were decannulated within a few days after the operation. In three patients, mild complications developed in the early post-operative period (two laryngeal edemas, one submucosal hematoma). Tracheotomy was performed to only one pregnant patient in the post-operative first day. None of the patients had granulation formation or synechia. SN - 1651-2251 UR - https://www.unboundmedicine.com/medline/citation/25925482/Glottic_airway_gain_after_'suture_arytenoid_laterofixation'_in_bilateral_vocal_cord_paralysis_ DB - PRIME DP - Unbound Medicine ER -