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CO2 and KTP-532 laser cordectomy for bilateral vocal fold paralysis

Published online by Cambridge University Press:  29 June 2007

L. Manolopoulos ,
P. Stavroulaki ,
J. Yiotakis ,
J. Segas  and
G. Adamopoulos
L. Manolopoulos
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece
P. Stavroulaki
Affiliation:
Department of Otolaryngology, University of Bristol, Southmead Hospital, UK
J. Yiotakis*
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece
J. Segas
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece
G. Adamopoulos
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece
*
Address for correspondence: J. Yiotakis, M.D., 98 Vas. Sophias Ave., GR-115 28 Athens, Greece. Fax: 0030 1 6250611
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Abstract

Laryngeal obstruction due to bilateral vocal fold paralysis has been treated in many different ways. The CO2 laser or KTP-532 laser endoscopic cordectomy described in this report is a slight modification of the posterior partial cordectomy proposed by Dennis and Kashima. This technique was used in 18 patients (14 with the CO2 and four with the KTP-532 laser). Prophylactic tracheostomy was performed preoperatively. Post-operative results were excellent in nine cases, good in seven cases and poor in two cases who had to remain with a permanent tracheostomy tube with a speaking valve. The main complications noted were the formation of a granuloma (seven cases) and arytenoid oedema (six cases). Revision surgery was performed in the seven cases with granuloma formation and in the two with persistent oedema. The results and the post-operative findings from the use of the two lasers were similar.

Keywords

Vocal foldParalysisLaser surgeryComplications
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 7 , July 1999 , pp. 637 - 641
Copyright
Copyright © JLO (1984) Limited 1999

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Footnotes

Presented in: 8th Panhellenic Congress in Otolaryngology Head and Neck Surgery, Lemesos Cyprus. November 2–5, 1995.

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