The role of endoscopic laterofixation of the vocal cord in the treatment of bilateral abductor paralysis

1992 ◽  
Vol 106 (1) ◽  
pp. 31-34 ◽  
Author(s):  
Hassan Moustafa ◽  
Ahmed El-Guindy ◽  
Sayed El-Sherief ◽  
Alt Targam
Keyword(s):  
Vocal Cord ◽  
Revision Surgery ◽  
Vocal Cords ◽  
Endoscopic Control ◽  
Abductor Paralysis

AbstractDifferent techniques were compared in management of 36 patients with bilateral abductor paralysis of the vocal cords. Ten patients were treated by microsurgical arytenoidectomy through a mid-line thyrotomy, with successful decannulation in only three. Fifteen patients were treated by endolaryngeal microsurgical arytenoidectomy, with failure to decannulate four cases.The procedure of endoscopic laterofixation of the vocal cord was used to treat 11 patients. Ten patients had an adequate long-lasting airway with a socially acceptable voice function. One patient had a revision surgery and was successfully decannulated. The technique was found to be a reliable option in the management of bilateral abductor paralysis. It is a modifiable procedure with a feasibility to adjust the position of the vocal cord under endoscopic control. It can be combined with endolaryngeal arytenoidectomy if the gain in the airway size produced by laterofixation is found insufficient.

Laser Lateralization for Bilateral Vocal Cord Abductor Paralysis

1985 ◽  
Vol 93 (5) ◽  
pp. 645-649 ◽  
Author(s):  
Kenneth Remsen ◽  
William Lawson ◽  
Niroo Patel ◽  
Hugh F. Biller
Keyword(s):  
Vocal Cord ◽  
Revision Surgery ◽  
Vocal Cord Paralysis ◽  
Anesthetic Management ◽  
Laser Microsurgery ◽  
Abductor Paralysis ◽  
Laser Excision ◽  
Thyroarytenoid Muscle

Unilateral laser excision of the thyroarytenoid muscle combined with suture lateralization of the vocal ligament was successful in 13 of 14 patients (93%) treated for bilateral abduction immobility sufficient to require tracheotomy. Among the four patients requiring revision surgery, three had cricoarytenoid fixation and one had vocal cord paralysis. All patients had a satisfactory voice after surgery. The anesthetic management of laser microsurgery is discussed.

scholarly journals COBLATION ASSISTED CORDECTOMY FOR VERRUCOUS LESION OF BILATERAL VOCAL CORDS

2021 ◽  
Vol Volume 9 (upjohns/volume9/Issue2) ◽  
pp. 44-46
Author(s):  
S. Pookamala*
Keyword(s):  
Oral Cavity ◽  
Head And Neck ◽  
Vocal Cord ◽  
Endoscopic Resection ◽  
Co2 Laser ◽  
Verrucous Carcinoma ◽  
Neck Region ◽  
Vocal Cords ◽  
Head And Neck Region

ABSTRACT Verrucous lesions of vocal cord are irregular whitish lesion with papillomatous surface. In head and neck region, it commonly affects oral cavity and larynx. Laryngeal lesions cause hoarseness and breathing difficulty. Biopsy of the lesion is essential to look for malignancy. Early lesions are amenable for endoscopic resection. Endoscopic resection can be done with microlaryngeal instruments or using CO2 laser/coblator for precise resection. Here we discuss the role of coblator in endoscopic resection of verrucous lesion of vocal cords. KEYWORDS Coblation, Verrucous lesion of vocal cords, verrucous carcinoma

“ROLE OF ULTRASOUND IN VOCAL CORD PALSY”

2021 ◽  
pp. 33-38
Author(s):  
Utkarsh Garg ◽  
Harneet Narula ◽  
Manish Gupta ◽  
Ujjwala Singh ◽  
Shreya Singh
Keyword(s):  
Pressure Drop ◽  
Vocal Cord ◽  
Fundamental Frequency ◽  
Vocal Cord Palsy ◽  
Harmonic Series ◽  
Fundamental Tone ◽  
Vocal Cords ◽  
Human Larynx ◽  
Main Component

Phonation is beyond doubt one of the highest functions of the human larynx. The vocal cords, also known as vocal cords, as the name suggests are infolding of mucosa aligned horizontally. The phonatory process, or voicing, occurs when air is expelled from the lungs through the glottis, creating a pressure drop across the larynx. When this drop becomes sufciently large, the vocal cords start to oscillate. The motion of the vocal cords during oscillation is mostly lateral, though there is also some superior component as well. However, there is almost no motion along the length of the vocal cords. The oscillation of the vocal cords serves to modulate the pressure and ow of the air through the larynx, and this modulated airow is the main component of the sound. The sound that the larynx produces is a harmonic series. In other words, it consists of a fundamental tone (called the fundamental frequency, the main acoustic cue for the percept pitch) accompanied by harmonic overtones, which are multiples of the (1) fundamental frequency .

A Case of Successful Enlargement of the Glottic Space Resulting from Modified Thyroarytenoid Myotomy for Bilateral Vocal Cord Abductor Paralysis

2006 ◽  
Vol 57 (4) ◽  
pp. 371-377 ◽  
Author(s):  
Makoto Ogawa ◽  
Yoshifumi Yamamoto ◽  
Takeshi Kamakura ◽  
Hidenori Inohara ◽  
Yusuke Watanabe ◽  
...  
Keyword(s):  
Vocal Cord ◽  
Abductor Paralysis

Role of Ultrasound in Analysis of Vocal Cord Movements in Comparison with Laryngoscopy

2019 ◽  
Vol 7 (2) ◽  
pp. 32-35
Author(s):  
Nagaraj Murthy ◽  
◽  
Dimple Bhatia ◽  
Keyword(s):  
Vocal Cord

The Role of Vertebral Body Tethering in Treating Skeletally Immature Scoliosis

2021 ◽  
pp. 155633162110088
Author(s):  
Blake C. Meza ◽  
Andre M. Samuel ◽  
Todd J. Albert
Keyword(s):  
Vertebral Body ◽  
Revision Surgery ◽  
Critical Analysis ◽  
Posterior Spinal Fusion ◽  
Future Research ◽  
Skeletally Immature ◽  
Postoperative Results ◽  
Radiographic Outcomes ◽  
Novel Technology

This is a critical analysis of a study by Hoernschemeyer et al, “Anterior Vertebral Body Tethering for Adolescent Scoliosis with Growth Remaining: A Retrospective Review of 2 to 5-Year Postoperative Results” ( J Bone Joint Surg Am, 2020;102[13]:1169–1176), that assessed the clinical and radiographic outcomes of vertebral body tethering (VBT) in the treatment of adolescent scoliosis. The authors demonstrated successful treatment in 74% of patients, based on radiographic outcomes and avoidance of subsequent posterior spinal fusion. Nearly a quarter of patients required revision surgery. Almost half suffered a broken tether, although the effects of such complications are not fully understood. The study provided valuable information for determining which patients are reasonable candidates for VBT and emphasizes several questions surrounding this novel technology that remain unanswered. This analysis discusses the study’s strengths and weaknesses, suggests potential directions of future research, and examines the potential indications for VBT.

Distribution Characteristics of Juvenile-Onset Recurrent Respiratory Papillomatosis at First-Time Surgery

2021 ◽  
pp. 014556132110498
Author(s):  
Xiaoli Qu ◽  
Yang Xiao ◽  
Lijing Ma ◽  
Jun Wang
Keyword(s):  
Vocal Cord ◽  
Disease Severity ◽  
Recurrent Respiratory Papillomatosis ◽  
Age At Diagnosis ◽  
Juvenile Onset ◽  
Vocal Cords ◽  
Younger Age ◽  
False Vocal ◽  
The Impact ◽  
First Time

Objectives The lesion distribution of juvenile-onset recurrent respiratory papillomatosis (JORRP) during first-time surgery has been rarely reported. The purpose of this study was to describe the anatomical distribution of papilloma across 25 Derkay sites during initial surgery and to assess the impact of the lesion distribution on disease severity. Methods Surgical videos and medical records of 106 patients with JORRP (27 aggressive and 79 nonaggressive cases) were retrospectively reviewed. Lesion locations were recorded using Derkay anatomical sites. Logistic regression was used to analyze the effect of the lesion distribution on disease severity. Results Among the 106 patients, the true vocal cords (90.6% left, 84.0% right) were the most frequently involved site, followed by the false vocal cords (39.6% left, 35.8% right) and the anterior commissure (26.4%). Two patients (1.9%) had tracheal involvement. Patients with false vocal cord involvement (odds ratio [OR] = 3.425, 95% confidence interval [CI] [1.285, 9.132], P = .014) and a younger age at diagnosis (OR = .698, 95% CI [.539, .905], P = .007) were more likely to require more than 4 procedures in the year following first-time surgery. Conclusions Lesions were most common on the true vocal cords. False vocal cord involvement and a younger age at diagnosis were risk factors for disease severity.

Idiopathic posterior laryngeal web on an adult patient

2021 ◽  
Vol 14 (5) ◽  
pp. e242561
Author(s):  
Georgios Chrysovitsiotis ◽  
Spyridon Potamianos ◽  
Spyros Katsinis ◽  
Efthymios Kyrodimos
Keyword(s):  
Adult Patient ◽  
Vocal Cord ◽  
Revision Surgery ◽  
Initial Treatment ◽  
Vocal Cord Paralysis ◽  
Adult Life ◽  
Patient Treatment ◽  
Prolonged Intubation ◽  
Careful Investigation

Posterior laryngeal webs are uncommon pathologies that are usually acquired at some point in adult life. Prior and prolonged intubation is the leading cause for developing such lesions. In certain rare cases of posterior laryngeal webs, no identifiable cause can be associated with the development of this pathology. We present a case with such an idiopathic lesion. Surgery is the treatment of choice. Several techniques and modifications can be used, to achieve maximum airway release and, at the same time, ensure that restenosis will be avoided. Our patient recurred following initial treatment and a more complex revision surgery was necessary. Special attention should be given in differentiating these lesions from abductor vocal cord paralysis. Furthermore, careful investigation of the cause and individualisation of patient treatment are crucial.

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