Efficacy of Arytenoidectomy after Suture Lateralisation Failure in Patients with Bilateral Vocal Cord Paralysis.

IF 0.4 Q4 OTORHINOLARYNGOLOGY Case Reports in Otolaryngology Pub Date : 2020-11-12 eCollection Date: 2020-01-01 DOI:10.1155/2020/8822164
Shinsuke Suzuki, Takechiyo Yamada
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Abstract

Background: Endolaryngeal suture lateralisation is an ideal operation for bilateral vocal fold paralysis. However, restenosis owing to breakage and slippage of suture can sometimes occur. In such a case, methods that are more effective in expanding the glottis, including arytenoidectomy, must be selected. Case Report. Herein, we report two female patients aged 86 and 54 years who presented with bilateral vocal cord paralysis and who had restenosis after suture lateralisation. Endoscopic partial arytenoidectomy was performed, and satisfactory outcomes were obtained. This method maintains the height of the arytenoid and preserves its sensation by leaving a part of the cartilage and mucous membrane.

Conclusion: Endoscopic partial arytenoidectomy is effective for securing the airway while preserving vocal function and preventing aspiration. This technique is suitable for patients with restenosis after they have undergone endolaryngeal suture lateralisation.

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侧边缝合失败后杓状体切除治疗双侧声带麻痹的疗效。
背景:喉内缝合侧边术是治疗双侧声带麻痹的理想术式。然而,由于缝线断裂和滑脱,有时会发生再狭窄。在这种情况下,必须选择扩大声门更有效的方法,包括杓状突切除术。病例报告。在此,我们报告了两名年龄分别为86岁和54岁的女性患者,她们表现为双侧声带麻痹,并在缝线外侧化后出现再狭窄。经内镜行部分杓状体切除术,取得满意的结果。这种方法通过保留部分软骨和粘膜来保持类杓骨的高度和感觉。结论:内镜下杓状部分切除术在保护气道的同时能有效保护声带功能,防止误吸。该技术适用于咽内缝合侧化术后再狭窄的患者。
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来源期刊
Case Reports in Otolaryngology
Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-
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发文量
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审稿时长
13 weeks
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