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European Archives of Oto-Rhino-Laryngology

, Volume 270, Issue 5, pp 1701–1705 | Cite as

Endoscopic laser medial arytenoidectomy for treatment of bilateral vocal fold paralysis

  • Philippe GorpheEmail author
  • Dana Hartl
  • Adi Primov-Fever
  • Stephane Hans
  • Lise Crevier-Buchman
  • Daniel Brasnu
Laryngology

Abstract

Endoscopic laser medial arytenoidectomy for bilateral vocal fold paralysis has the advantage of preserving the structure and the position of the vocal fold, contrary to a transverse cordotomy or total arytenoidectomy. Our objective was to evaluate the functional results of this procedure. This is a prospective non-randomized study. Twenty patients were included: five patients had a tracheotomy preoperatively and 15 patients had dyspnea on exertion. Acoustic voice measurements, spirometric parameters and the voice handicap index 120 (VHI), were evaluated 1 week before surgery and 3 months after. All the five patients with tracheotomy were successfully decannulated. Acoustic records and VHI were available for eight patients. Jitter and shimmer were worse (p = 0.0078), whereas the VHI was not significantly different after surgery. Spirometric records, available for six patients, were not modified. Endoscopic laser medial arytenoidectomy allowed decannulation and subjective improvement of quality of life in patients with bilateral vocal fold paralysis.

Keywords

Carbon dioxide laser Medial arytenoidectomy Vocal fold paralysis Acoustic and spirometric parameters Voice quality 

Notes

Acknowledgments

The authors would like to thank Dr Roger L. Crumley for his editorial assistance.

Conflict of interest

  There was no financial disclosure or conflict of interest.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Philippe Gorphe
    • 1
    • 3
    Email author
  • Dana Hartl
    • 2
    • 3
  • Adi Primov-Fever
    • 1
    • 4
  • Stephane Hans
    • 1
    • 2
  • Lise Crevier-Buchman
    • 1
    • 2
  • Daniel Brasnu
    • 1
    • 2
  1. 1.Department of Otolaryngology, Head and Neck SurgeryAPHP, Hopital Europeen Georges Pompidou, University Paris Descartes Sorbonne CitéParisFrance
  2. 2.Phonetics and Phonology LaboratoryCNRSParisFrance
  3. 3.Department of Head and Neck OncologyInstitut Gustave RoussyVillejuif CedexFrance
  4. 4.Department of Otolaryngology, Head and Neck SurgeryThe Chaim Sheba Medical CenterTel HashomerIsrael

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