gms | German Medical Science

79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie e. V.

30.04. - 04.05.2008, Bonn

Arytenoid lateralization for the endoscopic treatment of bilateral vocal cord immobility

Meeting Abstract

  • László Rovó - Univ.-HNO Klinik, Szeged, Ungarn
  • Shahram Madani - Univ.-HNO Klinik, Szeged, Ungarn
  • corresponding author György Smehák - Univ.-HNO Klinik, Szeged, Ungarn
  • Jenő Czigner - Univ.-HNO Klinik, Szeged, Ungarn
  • József Jóri - Univ.-HNO Klinik, Szeged, Ungarn

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Bonn, 30.04.-04.05.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. Doc08hnod109

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/hnod2008/08hnod109.shtml

Veröffentlicht: 22. April 2008

© 2008 Rovó et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Introduction: The “simple” suture lateralization of the vocal cord(s) (VC) is one of the effective treatment options for the bilateral vocal cord immobility (bVCI).

Method: Between 1986 and 2006 146 patients with bVCI were treated at the ENT department of Szeged University. From 1995 a minimally invasive technique was applied in 112 patients (75 women, 37 men, ranged 18-81 years), which provided the lateralization of the arytenoid cartilage in a physiological abducted position by an endoscopically inserted suture loop. A new instrument is introduced for this procedure. The fixated cricoarytenoidal joints were previously mobilized by CO2 laser and a special blade designed by the authors. 74 bVCIs were due to nerve injury, and in the most case of the 38 mechanical fixations developed after prolonged intubation.

Results: Immediate postoperative adequate airway was achieved in 102 cases. One patient required postoperative tracheostomy and in nine ones, the preroperatively existing tracheostomy must have been sustained for more than a week. Three of them remained canulated. Two elderly women were later tracheostomized for aspiration. After the recovery of the VC movement the suture was removed in 52 cases what ensured further voice improvement. In 46 of the 55 permanent bVCI the airway remained stable over a year.

Conclusion: This method is a good primary solution of bVCI, because it can provide immediate and stable airway with the preservation of the laryngeal function to a large extent.