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
Hauptverfasser: Motta, S., Moscillo, L., Imperiali, M., Carra, P., Motta, G.
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container_title O.R.L. Journal for oto-rhino-laryngology and its related specialties
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creator Motta, S.
Moscillo, L.
Imperiali, M.
Carra, P.
Motta, G.
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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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. 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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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