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Surgical management of bilateral immobile vocal folds and long-term follow-up

Published online by Cambridge University Press:  29 June 2007

A. K. Gupta ,
S. B. S. Mann  and
Nitin Nagarkar
A. K. Gupta
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India.
S. B. S. Mann*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India.
Nitin Nagarkar
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India.
*
Address for correspondence: Dr S. B. S. Mann, Department of Otolaryngology–Head and Neck Surgery, Pgimer, Chandigarh 160-012, India.
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Abstract

Sixty-one cases of bilateral immobile vocal folds were classified as traumatic (52.46 per cent), idiopathic (39.34 per cent) or iatrogenic (8.20 per cent). During follow-up the idiopathic group of patients had a better prognosis (p<O.O5) compared to the traumatic or iatrogenic group. A spontaneous recovery was seen in 58.33 per cent of cases in the idiopathic group, 56.25 per cent in the traumatic group and 40.0 per cent in the iatrogenic group within a period of one year. Patients who failed to show spontaneous recovery were either subjected to arytenoidectomy with fold lateralization, endoscopic fold lateralization or laser cordectomy, showing 70.0 per cent, 66.67 per cent and 80.0 per cent recovery respectively. These cases have been discussed.

Keywords

Vocal foldparalysisSurgery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 5 , May 1997 , pp. 474 - 477
Copyright
Copyright © JLO (1984) Limited 1997

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References

Baker, C. H. (1916) Report of a case of abductor paralysis with removal of one vocal cord. Journal of Michigan Medical Society 15: 485.Google Scholar
Gussack, G. S., Jurkovich, G. J., Luterman, A. (1986) Laryngotracheal trauma - a protocol approach to rare injury. Laryngoscope 96: 660–665.Google Scholar
Hilding, A. C., Hilding, J. A. (1952) Tolerance of the respiratory mucous membrane to trauma: Surgical swabs and intratracheal tubes. Annals of Otology, Rhinology and Laryngology 71: 455–459.CrossRefGoogle Scholar
Hilding, A. C. (1965) Regeneration of Respiratory Epithelium following Minimal Surface Trauma. Experts Medical International Congress Series No. 113, Proc. VIIIth International Congress of Otorhinolaryngology Tokyo, pp 101–103.Google Scholar
Hilding, D. A., Hilding, A. C. (1966) Ultrastructure of tracheal cilia and cells during regeneration. Annals of Otology, Rhinology and Laryngology 75: 281–294.Google Scholar
Lampert, G. E., McMurry, G. T. (1976) Laryngotracheal trauma: Recognition and management. Journal of Anaesthesiology and Clinical Pharmacology 5: 883–887.Google Scholar
Lucente, F. E., Mitrani, M., Sacks, H. S., Biller, H. F. (1985) Penetrating injuries of the larynx. Ear, Nose and Throat Journal 64: 406–415.Google Scholar
Olson, N. R., Miles, W. K. (1971) Treatment of acute blunt laryngeal injuries. Annals of Otology, Rhinology and Laryngology 80: 704–709.Google Scholar
Schaefer, S. D. (1982) Primary management of laryngeal trauma. Annals of Otology, Rhinology and Laryngology 91: 399–402.Google Scholar
Semon, F. (1965) On the proclivity of abductor fibres of recurrent laryngeal muscle to become affected sooner than the abductor fibres. Archives of Laryngology and Otology 2: 112.Google Scholar
Thornell, W. C. (1949) New intralaryngeal approach for bilateral abductor paralysis of vocal cords. American Academy of Ophthalmology and Otolaryngology 53: 631.Google Scholar
Tschiassany, K. (1957) Therapeutically induced paralysis of the cricothyroid muscle or its removal in paralytic laryngeal stenosis. Archives of Otolaryngology 65: 133.Google Scholar
Tucker, H. M. (1976) Human reinnervation. Laryngoscope 8: 709.Google Scholar
Woodman, D. G. (1953) Bilateral abductor paralysis. Archives of Otolaryngology 58: 150.CrossRefGoogle ScholarPubMed
Yamada, M., Hirano, M., Ohkubo, H. (1983) Recurrent laryngeal nerve paralysis: A ten year review of 565 patients. Auris Nasus Larynx (Suppl.):31: 51.Google Scholar
Yamashita, T., Harada, Y., Ueda, N. (1965) Recurrent laryngeal nerve paralysis associated with endrotracheal anaesthesia. Journal of Otorhinolaryngological Society of Japan 68: 1452–1459.Google Scholar