Glottic airway gain after 'suture arytenoid laterofixation' in bilateral vocal cord paralysis


KORKMAZ M. H. , Bayir O., Tatar E. C. , Saylam G., Ocal B., Keseroglu K., ...Daha Fazla

ACTA OTO-LARYNGOLOGICA, cilt.135, ss.931-936, 2015 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 135 Konu: 9
  • Basım Tarihi: 2015
  • Doi Numarası: 10.3109/00016489.2015.1042554
  • Dergi Adı: ACTA OTO-LARYNGOLOGICA
  • Sayfa Sayıları: ss.931-936

Özet

Conclusion: This method is an easy, non-expensive, and effective technique in bilateral vocal cord paralysis to improve glottic airway and clinical performance. Objective: To evaluate the effectiveness of 'suture arytenoid laterofixation' surgery in bilateral vocal cord paralysis. Materials and methods: A retrospective analysis of patients' medical history undergoing 'suture arytenoid laterofixation' surgery for bilateral vocal cord paralysis. This technique was applied under general anesthesia with both microlaryngoscopy and video-monitoring. Two 16 g needles and one 1/0 nylon thread were used for the procedure with 1 cm skin incision; no tracheotomy or tissue excision was required. Pre-post-operative photographs of the glottic region were taken from the endoscopic records, and the areas of rima glottis openings were calculated with the Image-J programme. Results: Forty-seven patients were analyzed. The mean pre-post-operative rima glottis areas were 1.11 +/- 0.56 and 2.24 +/- 0.93 mm(2), respectively (p < 0.001). Five patients with previous tracheotomy were decannulated within a few days after the operation. In three patients, mild complications developed in the early post-operative period (two laryngeal edemas, one submucosal hematoma). Tracheotomy was performed to only one pregnant patient in the post-operative first day. None of the patients had granulation formation or synechia.