CO2 Laser Treatment of Bilateral Vocal Cord Paralysis in Adduction
This study presents results obtained from 83 patients with bilateral vocal cord paralysis in adduction treated between 1982 to 2001, with CO 2 laser microlaryngoscopy. In relation to the different types of surgery followed, three distinct treatment groups were included: group 1 (1982–1984) included...
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Veröffentlicht in: | O.R.L. Journal for oto-rhino-laryngology and its related specialties 2003-11, Vol.65 (6), p.359-365 |
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description | This study presents results obtained from 83 patients with bilateral vocal cord paralysis in adduction treated between 1982 to 2001, with CO 2 laser microlaryngoscopy. In relation to the different types of surgery followed, three distinct treatment groups were included: group 1 (1982–1984) included 5 patients treated with vaporization of the vocal process of the arytenoid and the homolateral posterior third of the true vocal cord. Group 2 (1983–1990) contained 19 patients who were treated with arytenoidectomy and removal of the homolateral posterior half of the true vocal cord and group 3 (1990–2001), including 59 patients who were treated with arytenoidectomy and removal of the homolateral posterior half or two thirds of both the true and false vocal cord. Functional results were assessed by means of spirometry, spectrography and aerophonic examinations performed at 5, 90, 180, and 240 days postoperatively. The results show that removal of the posterior third of the true vocal cord and false vocal cord, combined with arytenoidectomy, is the surgical treatment of choice to resolve respiratory insufficiency in these patients. |
doi_str_mv | 10.1159/000076055 |
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In relation to the different types of surgery followed, three distinct treatment groups were included: group 1 (1982–1984) included 5 patients treated with vaporization of the vocal process of the arytenoid and the homolateral posterior third of the true vocal cord. Group 2 (1983–1990) contained 19 patients who were treated with arytenoidectomy and removal of the homolateral posterior half of the true vocal cord and group 3 (1990–2001), including 59 patients who were treated with arytenoidectomy and removal of the homolateral posterior half or two thirds of both the true and false vocal cord. Functional results were assessed by means of spirometry, spectrography and aerophonic examinations performed at 5, 90, 180, and 240 days postoperatively. The results show that removal of the posterior third of the true vocal cord and false vocal cord, combined with arytenoidectomy, is the surgical treatment of choice to resolve respiratory insufficiency in these patients.</description><identifier>ISSN: 0301-1569</identifier><identifier>EISSN: 1423-0275</identifier><identifier>DOI: 10.1159/000076055</identifier><identifier>PMID: 14981330</identifier><identifier>CODEN: ORLJAH</identifier><language>eng</language><publisher>Basel, Switzerland: Karger</publisher><subject>Arytenoid Cartilage - surgery ; Biological and medical sciences ; Dyspnea - etiology ; Dyspnea - surgery ; Female ; Follow-Up Studies ; Humans ; Laryngoscopy - methods ; Laser Therapy - methods ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Nervous system as a whole ; Neurology ; Original Paper ; Otorhinolaryngologic Surgical Procedures ; Otorhinolaryngology. Stomatology ; Pulmonary Ventilation ; Retrospective Studies ; Spirometry ; Treatment Outcome ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology ; Vocal Cord Paralysis - complications ; Vocal Cord Paralysis - surgery ; Vocal Cords - surgery ; Voice Quality</subject><ispartof>O.R.L. Journal for oto-rhino-laryngology and its related specialties, 2003-11, Vol.65 (6), p.359-365</ispartof><rights>2003 S. Karger AG, Basel</rights><rights>2004 INIST-CNRS</rights><rights>Copyright 2003 S. Karger AG, Basel</rights><rights>Copyright (c) 2003 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c358t-ad8b04d135a8ca67d54f02cffcda625f8902acc49c4b28bec576286dc062ad0c3</citedby><cites>FETCH-LOGICAL-c358t-ad8b04d135a8ca67d54f02cffcda625f8902acc49c4b28bec576286dc062ad0c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,2430,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15515735$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14981330$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Motta, S.</creatorcontrib><creatorcontrib>Moscillo, L.</creatorcontrib><creatorcontrib>Imperiali, M.</creatorcontrib><creatorcontrib>Carra, P.</creatorcontrib><creatorcontrib>Motta, G.</creatorcontrib><title>CO2 Laser Treatment of Bilateral Vocal Cord Paralysis in Adduction</title><title>O.R.L. Journal for oto-rhino-laryngology and its related specialties</title><addtitle>ORL</addtitle><description>This study presents results obtained from 83 patients with bilateral vocal cord paralysis in adduction treated between 1982 to 2001, with CO 2 laser microlaryngoscopy. In relation to the different types of surgery followed, three distinct treatment groups were included: group 1 (1982–1984) included 5 patients treated with vaporization of the vocal process of the arytenoid and the homolateral posterior third of the true vocal cord. Group 2 (1983–1990) contained 19 patients who were treated with arytenoidectomy and removal of the homolateral posterior half of the true vocal cord and group 3 (1990–2001), including 59 patients who were treated with arytenoidectomy and removal of the homolateral posterior half or two thirds of both the true and false vocal cord. Functional results were assessed by means of spirometry, spectrography and aerophonic examinations performed at 5, 90, 180, and 240 days postoperatively. The results show that removal of the posterior third of the true vocal cord and false vocal cord, combined with arytenoidectomy, is the surgical treatment of choice to resolve respiratory insufficiency in these patients.</description><subject>Arytenoid Cartilage - surgery</subject><subject>Biological and medical sciences</subject><subject>Dyspnea - etiology</subject><subject>Dyspnea - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Laryngoscopy - methods</subject><subject>Laser Therapy - methods</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Nervous system as a whole</subject><subject>Neurology</subject><subject>Original Paper</subject><subject>Otorhinolaryngologic Surgical Procedures</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pulmonary Ventilation</subject><subject>Retrospective Studies</subject><subject>Spirometry</subject><subject>Treatment Outcome</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><subject>Vocal Cord Paralysis - complications</subject><subject>Vocal Cord Paralysis - surgery</subject><subject>Vocal Cords - surgery</subject><subject>Voice Quality</subject><issn>0301-1569</issn><issn>1423-0275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpd0M1LwzAYBvAgipvTg2dBiqDgoZqkzUePW_ELBvMwvZa3SSqd_ZhJe9h_b0bLBHNIIPx43pcHoUuCHwhhySP2R3DM2BGakphGIaaCHaMpjjAJCePJBJ05t_GKUSlO0YTEiSRRhKdoka5osARnbLC2BrraNF3QFsGirKAzFqrgs1X-Tlurg3fwHztXuqBsgrnWverKtjlHJwVUzlyM7wx9PD-t09dwuXp5S-fLUEVMdiFomeNYk4iBVMCFZnGBqSoKpYFTVsgEU1AqTlScU5kbxQSnkmuFOQWNVTRDd0Pu1rY_vXFdVpdOmaqCxrS9ywRhMU-48PDmH9y0vW38bhmlDAtfDvbofkDKts5ZU2RbW9ZgdxnB2b7V7NCqt9djYJ_XRv_JsUYPbkcAzrdVWGhU6f4cY4SJaB90NbhvsF_GHsAw5hfRXIVh</recordid><startdate>200311</startdate><enddate>200311</enddate><creator>Motta, S.</creator><creator>Moscillo, L.</creator><creator>Imperiali, M.</creator><creator>Carra, P.</creator><creator>Motta, G.</creator><general>Karger</general><general>S. 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Stomatology</topic><topic>Pulmonary Ventilation</topic><topic>Retrospective Studies</topic><topic>Spirometry</topic><topic>Treatment Outcome</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><topic>Vocal Cord Paralysis - complications</topic><topic>Vocal Cord Paralysis - surgery</topic><topic>Vocal Cords - surgery</topic><topic>Voice Quality</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Motta, S.</creatorcontrib><creatorcontrib>Moscillo, L.</creatorcontrib><creatorcontrib>Imperiali, M.</creatorcontrib><creatorcontrib>Carra, P.</creatorcontrib><creatorcontrib>Motta, G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>O.R.L. Journal for oto-rhino-laryngology and its related specialties</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Motta, S.</au><au>Moscillo, L.</au><au>Imperiali, M.</au><au>Carra, P.</au><au>Motta, G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>CO2 Laser Treatment of Bilateral Vocal Cord Paralysis in Adduction</atitle><jtitle>O.R.L. Journal for oto-rhino-laryngology and its related specialties</jtitle><addtitle>ORL</addtitle><date>2003-11</date><risdate>2003</risdate><volume>65</volume><issue>6</issue><spage>359</spage><epage>365</epage><pages>359-365</pages><issn>0301-1569</issn><eissn>1423-0275</eissn><coden>ORLJAH</coden><abstract>This study presents results obtained from 83 patients with bilateral vocal cord paralysis in adduction treated between 1982 to 2001, with CO 2 laser microlaryngoscopy. In relation to the different types of surgery followed, three distinct treatment groups were included: group 1 (1982–1984) included 5 patients treated with vaporization of the vocal process of the arytenoid and the homolateral posterior third of the true vocal cord. Group 2 (1983–1990) contained 19 patients who were treated with arytenoidectomy and removal of the homolateral posterior half of the true vocal cord and group 3 (1990–2001), including 59 patients who were treated with arytenoidectomy and removal of the homolateral posterior half or two thirds of both the true and false vocal cord. Functional results were assessed by means of spirometry, spectrography and aerophonic examinations performed at 5, 90, 180, and 240 days postoperatively. The results show that removal of the posterior third of the true vocal cord and false vocal cord, combined with arytenoidectomy, is the surgical treatment of choice to resolve respiratory insufficiency in these patients.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>14981330</pmid><doi>10.1159/000076055</doi><tpages>7</tpages></addata></record> |
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source | MEDLINE; Karger Journals; Alma/SFX Local Collection; Karger:Jisc Collections:ORL, Ophthalmology, Dental Medicine, Obstetrics, Gynecology and Psychology, Psychiatry Archive Collection (2012-2112) |
subjects | Arytenoid Cartilage - surgery Biological and medical sciences Dyspnea - etiology Dyspnea - surgery Female Follow-Up Studies Humans Laryngoscopy - methods Laser Therapy - methods Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Nervous system as a whole Neurology Original Paper Otorhinolaryngologic Surgical Procedures Otorhinolaryngology. Stomatology Pulmonary Ventilation Retrospective Studies Spirometry Treatment Outcome Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology Vocal Cord Paralysis - complications Vocal Cord Paralysis - surgery Vocal Cords - surgery Voice Quality |
title | CO2 Laser Treatment of Bilateral Vocal Cord Paralysis in Adduction |
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