Carbon Dioxide Laser Posterior Cordectomy for Treatment of Bilateral Vocal Cord Paralysis

1989 ◽  
Vol 98 (12) ◽  
pp. 930-934 ◽  
Author(s):  
Donald P. Dennis ◽  
Haskins Kashima
Keyword(s):  
Carbon Dioxide ◽  
Airway Obstruction ◽  
Vocal Cord ◽  
Carbon Dioxide Laser ◽  
Vocal Cord Paralysis ◽  
Voice Quality ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Bilateral Vocal Cord Paralysis ◽  
Initial Improvement

Upper airway obstruction due to bilateral vocal cord paralysis was successfully relieved by carbon dioxide laser posterior cordectomy. All patients achieved satisfactory airway and decannulation. Flow-volume loop spirograms obtained preoperatively and postoperatively documented improved flow rates on inspiration and expiration. Final voice quality was subjectively good in all patients. Follow-up has ranged from 1 year 10 months to 5 years 8 months, and initial improvement has been sustained in all cases. Carbon dioxide laser posterior partial cordectomy is an alternative management option for relief of upper airway obstruction due to bilateral vocal cord paralysis. The procedure can be performed without prophylactic tracheotomy. Subjectively good voice quality is preserved.

scholarly journals A Rare Presentation of Bilateral Vocal Cord Paralysis in Late Stage Parkinson’s Disease

2018 ◽  
Vol 5 ◽  
Author(s):  
Sharir Asrul Bin Asnawi ◽  
Mohd Hazmi Bin Mohamed ◽  
Mohamad Bin Doi
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Multiple System Atrophy ◽  
Medical Treatment ◽  
Airway Obstruction ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Bilateral Vocal Cord Paralysis

Introduction: Vocal cord paralysis often causes mortality by upper airway obstruction in some neurodegenerative diseases such as Parkinson’s disease and multiple system atrophy. Vocal cord paralysis is uncommon in Parkinson’s disease (PD) in contrary it is more common in multiple system atrophy (MSA). The pathogenesis of vocal cord paralysis in Parkinson’s disease is not well understood but may involve degeneration of the nucleus ambiguous. In terms of managing patient with bilateral vocal cord paralysis in PD, it can be either performing tracheostomy to relive the upper airway obstruction or by optimizing the medical treatment. There are very few available reported cases whereby patient are treated with medical treatment alone.Case Report: We report a case of 65 years old lady who presented with stridor resulting from bilateral vocal cord paralysis and she has been diagnosed to have Parkinson’s disease for more than 10 years. She had her antiparkinson medication optimized and requiring no surgical intervention to relieve the upper airway obstruction.Conclusion: In conclusion we would like to emphasize that it is important to recognize bilateral vocal cord paralysis in Parkinson’s disease and early optimization of medical treatment could avoid a need of tracheostomy.

Upper airway obstruction with bilateral vocal cord paralysis secondary to ischemic stroke: Reports of two cases

2008 ◽  
Vol 48 (5) ◽  
pp. 333-337
Author(s):  
Yasuyuki Ito ◽  
Akira Mori ◽  
Kiminobu Yonemura ◽  
Yoichiro Hashimoto ◽  
Teruyuki Hirano ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Airway Obstruction ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Bilateral Vocal Cord Paralysis

Posterior Glottic Laryngeal Stenosis

1980 ◽  
Vol 88 (6) ◽  
pp. 765-772 ◽  
Author(s):  
Ronald S. Bogdasarian ◽  
Nels R. Olson
Keyword(s):  
Airway Obstruction ◽  
Vocal Cord ◽  
Endotracheal Intubation ◽  
Vocal Cord Paralysis ◽  
Voice Quality ◽  
Posterior Commissure ◽  
Muscle Scar ◽  
Laryngeal Stenosis ◽  
Scar Contracture ◽  
Laryngoscopic Examination

Posterior glottic laryngeal stenosis most commonly results from endotracheal intubation and less commonly from external trauma or from infection. Following extubation, the patient may have immediate or delayed onset of symptoms of airway obstruction. Often, as in bilateral vocal cord paralysis, voice symptoms are minimal. Indirect laryngoscopic examination usually establishes the diagnosis. Movement of the arytenoids is seen but is limited, and is reflected in poor mobility of the vocal cords. Direct laryngoscopic examination and palpation of the arytenoids for passive mobility confirms the diagnosis and rules out vocal cord paralysis from recurrent laryngeal nerve injury. With the establishment of stenosis, scarring and web formation occurs over the posterior cricoid lamina and may extend into one or both cricoarytenoid joints and into the interarytenoid muscle. Scar contracture in the posterior commissure causes medial fixation of the vocal processes of the arytenoid cartilages. When caused by endotracheal intubation, the initial injury is usually to the mucosa of the posterior cricoid lamina, vocal processes of the arytenoids, or both. Perichondritis may ensue, its location and severity determining the ultimate functional extent of scarring. When airway obstruction results, treatment is by laryngofissure, scar resection, grafting, and stenting. If bilateral cricoarytenoid joint fibrosis is discovered, arytenoidectomy, and in some cases laryngeal lumen augmentation, is invariably required to reestablish the airway, with probable detrimental effects on voice quality. Five of ten patients are presented to illustrate the etiology, pathogenesis, symptoms, management, and sequelae of this problem.

scholarly journals Carbon Dioxide Laser Endoscopic Posterior Cordotomy Technique for Bilateral Abductor Vocal Cord Paralysis

2013 ◽  
Vol 139 (4) ◽  
pp. 401 ◽  
Author(s):  
Süleyman Özdemir ◽  
Ülkü Tuncer ◽  
Özgür Tarkan ◽  
Karahan Kara ◽  
Özgür Sürmelioglu
Keyword(s):  
Carbon Dioxide ◽  
Vocal Cord ◽  
Carbon Dioxide Laser ◽  
Vocal Cord Paralysis

A Case of Functional Upper Airway Obstruction Due To Vocal Cord Dysfunction

1996 ◽  
Vol 43 (3) ◽  
pp. 449
Author(s):  
Jung Kyung Suh ◽  
Sang Yeub Lee ◽  
Sang Hwa Lee ◽  
Sang Myun Park ◽  
Jae Youn Cho ◽  
...  
Keyword(s):  
Airway Obstruction ◽  
Vocal Cord ◽  
Upper Airway ◽  
Upper Airway Obstruction ◽  
Vocal Cord Dysfunction
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