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Management of bilateral abductor paralysis: posterior cordectomy with partial arytenoidectomy using diode laser

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Purpose

This study aims to assess the role of diode laser-assisted posterior cordectomy with partial arytenoidectomy in the management of bilateral vocal fold paralysis patients.

Methods

Posterior cordectomy with partial arytenoidectomy using diode laser was performed to thirty-nine patients with bilateral vocal fold paralysis. Voice was evaluated by maximal phonation time and Arabic version of the voice handicap index, while breathing difficulty was assessed by mMRC (Modified Medical Research Council) dyspnea scale.

Results

There is a statistically significant decrease in mMRC from 2.8 ± 0.645 preoperatively to 0.84 ± 0.554 postoperatively (p < 0.001). However, maximum phonation time is significantly decreased from 8.04 ± 0.978 preoperatively to 6.92 ± 0.997 postoperatively (p < 0.001); there is a statistically non-significant increase in vocal handicap index from 37.12 ± 6.26 preoperatively to 37.24 ± 6.22) postoperatively (p > 0.05).

Conclusions

The diode laser is a viable method that should be considered for the management of bilateral vocal cord paralysis. It seems to be a very promising laser device, so we expect that new diode laser wavelengths (980 nm) will continue to emerge, making it a good alternative to the CO2 laser, but with lower cost, accurate manipulation, portability, shorter duration, and simplicity of use.

Level of evidence

4.

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Data availability

The data sets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Funding

The authors have no funding or financial relationships to disclose.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Faculty of Medicine, Mansoura University, Mansoura, Egypt

    Ahmed El-Sobki & Noha Ahmed El-Kholy

  2. Department of Otorhinolaryngology, Faculty of Medicine, Kafrelsheikh University, El-Giesh Street, Kafrelsheikh, 33155, Egypt

    Mohamed E. El-Deeb & Saad Elzayat

Authors
  1. Ahmed El-Sobki
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  2. Mohamed E. El-Deeb
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  3. Noha Ahmed El-Kholy
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  4. Saad Elzayat
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Contributions

AS methodology, idea formulation and reference collection; MD review writing and revision, editing final draft; NE formal analysis, data collection; SZ data collection, final revision.

Corresponding author

Correspondence to Mohamed E. El-Deeb.

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All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional research editorial boards and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Formal consent was signed by the patients to share and to publish their data in this research.

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El-Sobki, A., El-Deeb, M.E., El-Kholy, N.A. et al. Management of bilateral abductor paralysis: posterior cordectomy with partial arytenoidectomy using diode laser. Eur Arch Otorhinolaryngol 278, 1145–1151 (2021). https://doi.org/10.1007/s00405-020-06492-9

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  • DOI: https://doi.org/10.1007/s00405-020-06492-9

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