gms | German Medical Science

83. 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.

16.05. - 20.05.2012, Mainz

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Endoscopic arytenoid lateropexy as secondary, revision surgery after glottis enlarging procedures with unsatisfactory results

Meeting Abstract

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  • corresponding author László Rovó - Department of Otorhinolaryngology Head and Neck Su, Szeged, Hungary
  • László Szakács - ENT Dep., University of Szeged, Hungary, Szeged, Hungary
  • Madani Shahram - ENT Dep., University of Szeged, Hungary, Szeged, Hungary
  • Balázs Sztanó - ENT Dep., University of Szeged, Hungary, Szeged, Hungary

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 83. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Mainz, 16.-20.05.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12hnod129

doi: 10.3205/12hnod129, urn:nbn:de:0183-12hnod1294

Veröffentlicht: 4. April 2012

© 2012 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 vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.

Gliederung

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 the endoscopic arytenoid lateropexy (EAL) was introduced for both primary and secondary treatment of BVCI. In the past years 237 patients were operated. The effectiveness of EAL was demonstrated in cases after failed simple suture vocal cord laterofixation (13 cases), uni- (7 cases) and bilateral arytenoidectomy (3 cases), and open Réthi II operation (4 cases). 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 these severe cases.