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Laser posterior ventriculocordectomy with partial arytenoidectomy for the treatment of bilateral vocal fold immobility

Published online by Cambridge University Press:  08 March 2006

J. Shvero ,
R. Koren ,
Y. Stern ,
K. Segal ,
R. Feinmesser  and
T. Hadar
J. Shvero
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petah Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
R. Koren
Affiliation:
Department of Patholology, Rabin Medical Center, Beilinson Campus, Petah Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Y. Stern
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petah Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
K. Segal
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petah Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
R. Feinmesser
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petah Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
T. Hadar
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Rabin Medical Center, Beilinson Campus, Petah Tikva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
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Abstract

Bilateral vocal fold immobility in adduction usually creates severe dyspnoea. Many surgical procedures have been established to improve the airway insufficiency in affected patients.

Over the last six years 22 patients with bilateral vocal fold immobility in our department have undergone CO2 laser posterior ventriculocordectomy with partial arytenoidectomy (PVCPA). None had dyspnoea or a disturbance in the immediate post-operative period or during follow up, which ranged from five months to six years. Only one patient required a second procedure.

Laser PVCPA appears to be an effective and reliable method for the treatment of bilateral vocal fold immobility in selected patients.

Keywords

Laser SurgeryVocal CordsVocal Cord ParalysisSurgical Procedures, Operative
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 117 , Issue 7 , July 2003 , pp. 540 - 543
Copyright
© Royal Society of Medicine Press Limited 2003

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