Artikel
Minimally invasive treatment of bilateral vocal cord impairment in childhood – endoscopic arytenoid lateropexy
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Veröffentlicht: | 14. April 2014 |
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Gliederung
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Introduction: The minimally invasive endoscopic arytenoid lateropexy (EAL) proved to be a really effective suture vocal cord lateralizing technique for the treatment of bilateral vocal cord impairment (BVCI). The arytenoid cartilage is directly lateralized to normal abducted position by sutures.
Methods: In the past years over 250 adult BVCI patients were operated. The excellent clinical results encourged us to introduce the pediatric application as well: six children were operated too (Age: 2 weeks – 16 years).
Results: The main causes of pediatric glottic stenoses are congenital malformations and the complications of long-term intubation. All patients could be extubated after surgery. Subjective ‘Quality of Life’ questionnaire, spirometric tests (if possible) and endoscopic examinations were applied to evaluate the results.
Conclusion: According to our first experiences EAL seemed to be a simple effective solution for pediatric BVCI patients.
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