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[Phoniatric outcomes of endoscopic arytenoid abduction lateropexy in patients with transient bilateral vocal cord paralysis].
Orv Hetil. 2018 Jul; 159(29):1188-1192.OH

Abstract

INTRODUCTION

Dyspnea caused by bilateral vocal cord paralysis often requires surgical intervention to prevent acute asphyxiation. The regeneration of the laryngeal nerves may last weeks or months and it is difficult to predict the outcome. In the past decades, several open and endoscopic surgical techniques have been introduced for treatment to avoid tracheostomy, however, these procedures with resection of the glottis resulted in irreversible changes in the laryngeal structure, thus the voice quality decreased over a long-term period.

AIM

Endoscopic arytenoid abduction lateropexy is an accepted reversible, minimally invasive technique that provides an immediate patent airway by the lateralisation of the arytenoid cartilage with a suture. The aim of our study was to analyze the phonatory and respiratory outcomes of this treatment concept.

METHOD

Two patients suffering from bilateral vocal cord palsy were treated with endoscopic arytenoid abduction lateropexy. After recovery of the vocal cord movements, the sutures were removed. Spirometric and phoniatric results of the two patients were analysed after suture removal.

RESULTS

Good spirometric parameters and normal voice quality were detected in both cases.

CONCLUSIONS

These results prove the high reversibility of the minimally invasive endoscopic arytenoid abduction lateropexy. Lateralization suture can be removed in the case of vocal cord movement recovery, and phonation may be physiological. Orv Hetil. 2018; 159(29): 1188-1192.

Authors+Show Affiliations

Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Tisza L. krt. 111., 6725.Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Tisza L. krt. 111., 6725.Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Tisza L. krt. 111., 6725.Fül-Orr-Gégészeti és Fej-Nyaksebészeti Klinika, Szegedi Tudományegyetem, Általános Orvostudományi Kar Szeged, Tisza L. krt. 111., 6725.

Pub Type(s)

Case Reports
Journal Article

Language

hun

PubMed ID

30008236

Citation

Matievics, Vera, et al. "[Phoniatric Outcomes of Endoscopic Arytenoid Abduction Lateropexy in Patients With Transient Bilateral Vocal Cord Paralysis]." Orvosi Hetilap, vol. 159, no. 29, 2018, pp. 1188-1192.
Matievics V, Sztanó B, Bach Á, et al. [Phoniatric outcomes of endoscopic arytenoid abduction lateropexy in patients with transient bilateral vocal cord paralysis]. Orv Hetil. 2018;159(29):1188-1192.
Matievics, V., Sztanó, B., Bach, Á., & Rovó, L. (2018). [Phoniatric outcomes of endoscopic arytenoid abduction lateropexy in patients with transient bilateral vocal cord paralysis]. Orvosi Hetilap, 159(29), 1188-1192. https://doi.org/10.1556/650.2018.31099
Matievics V, et al. [Phoniatric Outcomes of Endoscopic Arytenoid Abduction Lateropexy in Patients With Transient Bilateral Vocal Cord Paralysis]. Orv Hetil. 2018;159(29):1188-1192. PubMed PMID: 30008236.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Phoniatric outcomes of endoscopic arytenoid abduction lateropexy in patients with transient bilateral vocal cord paralysis]. AU - Matievics,Vera, AU - Sztanó,Balázs, AU - Bach,Ádám, AU - Rovó,László, PY - 2018/7/17/entrez PY - 2018/7/17/pubmed PY - 2018/9/15/medline KW - bilateral vocal cord palsy KW - endoscopic arytenoid abduction lateropexy KW - endoszkópos arytenoid abdukciós lateropexia KW - hangminőség KW - kétoldali gégebénulás KW - légzésfunkció KW - minimally invasive surgery KW - minimálisan invazív sebészet KW - spirometry KW - voice quality SP - 1188 EP - 1192 JF - Orvosi hetilap JO - Orv Hetil VL - 159 IS - 29 N2 - INTRODUCTION: Dyspnea caused by bilateral vocal cord paralysis often requires surgical intervention to prevent acute asphyxiation. The regeneration of the laryngeal nerves may last weeks or months and it is difficult to predict the outcome. In the past decades, several open and endoscopic surgical techniques have been introduced for treatment to avoid tracheostomy, however, these procedures with resection of the glottis resulted in irreversible changes in the laryngeal structure, thus the voice quality decreased over a long-term period. AIM: Endoscopic arytenoid abduction lateropexy is an accepted reversible, minimally invasive technique that provides an immediate patent airway by the lateralisation of the arytenoid cartilage with a suture. The aim of our study was to analyze the phonatory and respiratory outcomes of this treatment concept. METHOD: Two patients suffering from bilateral vocal cord palsy were treated with endoscopic arytenoid abduction lateropexy. After recovery of the vocal cord movements, the sutures were removed. Spirometric and phoniatric results of the two patients were analysed after suture removal. RESULTS: Good spirometric parameters and normal voice quality were detected in both cases. CONCLUSIONS: These results prove the high reversibility of the minimally invasive endoscopic arytenoid abduction lateropexy. Lateralization suture can be removed in the case of vocal cord movement recovery, and phonation may be physiological. Orv Hetil. 2018; 159(29): 1188-1192. SN - 0030-6002 UR - https://www.unboundmedicine.com/medline/citation/30008236/[Phoniatric_outcomes_of_endoscopic_arytenoid_abduction_lateropexy_in_patients_with_transient_bilateral_vocal_cord_paralysis]_ DB - PRIME DP - Unbound Medicine ER -