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82nd Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

01.06. - 05.06.2011, Freiburg

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Endoscopic arytenoid lateropexy as revision surgery for bilateral vocal cord impairment

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  • corresponding author Balazs Sztanó - ENT Dep., University of Szeged, Hungary, Szeged, Hungary
  • László Szakács - ENT Dep., University of Szeged, Hungary, Szeged, Hungary
  • Shahram Madani - ENT Dep., University of Szeged, Hungary, Szeged, Hungary
  • György Smehák - ENT Dep., University of Szeged, Hungary, Szeged, Hungary
  • László Rovó - ENT Dep., University of Szeged, Hungary, Szeged, Hungary

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 82. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Freiburg i. Br., 01.-05.06.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11hnod114

doi: 10.3205/11hnod114, urn:nbn:de:0183-11hnod1148

Published: April 19, 2011

© 2011 Sztanó et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

Text

Several surgical techniques have been introduced for the treatment of glottic stenoses. Sometimes primer surgery could not provide satisfactory results, the patients might be decannulated, but their quality of life is inadequate. For them a secondary, revision operation should be planned. It is questionable which glottis widening method may provide the best results in these severe, complicated cases. In our department excellent results about arytenoid lateropexy performed for primary treatment of BVCI were observed, and then this technique was introduced as secondary, revision surgery. The effectiveness of arytenoid lateropexy was demonstrated in cases after failed simple suture vocal cord laterofixation, uni- and bilateral arytenoidectomy, and open Réthi II operation. Spirometric, phoniatric tests and subjective ‘Quality of Life’ questionnaire were used to make results of different approaches comparable. These tests proved that the minimally invasive endoscopic arytenoid lateropexy might provide satisfactory results even in severe cases