Abstract
Bilateral vocal-cord paralysis usually causes dyspnoea with inspiratory stridor. Most patients have a fairly satisfactory voice. The purpose of this paper is to present the results of a series of 24 patients with bilateral vocal-cord paralysis treated by CO2 laser cordectomy during 1978–86. Breathing improved in 19 patients. In most of the patients, however, the voice worsened. If further surgery is necessary this can easily be performed. In appropriate patients the CO2 laser is an ideal surgical tool for the performance of a cordectomy in patients with bilateral vocal-cord paralysis.
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References
Jackson C. Ventriculocordectomy: A new operation for the cure of goitrous glottic stenosis.Arch Surg 1922,4:257–74
Hoover WB. Bilateral abductor paralysis, operative treatment of submucous resection of the vocal cord.Arch Otolaryngol 1932,15:337–55
King BT. A new and function restoring operation for bilateral abductor cord paralysis.J.A.M.A. 1939,112: 814–23
Kelly JD. Surgical treatment of bilateral paralysis of the abductor muscles.Arch Otolaryngol 1941,33:293–304
Woodman D. A modification of the extralaryngeal approach to arytenoidectomy for bilateral abductor paralysis.Arch Otolaryngol 1946,43:63–5
Thornell WC. Intralaryngeal approach for arytenoidectomy in bilateral abductor vocal cord paralysis.Arch Otolaryngol 1948,47:505–8
Langnickel R. An endolaryngeal method of verticolateral transposition of the vocal cord for bilateral abductor paralysis.Laryngoscope 1976,86:1020–38
Kirchner FR. Endoscopic lateralization of the vocal cord in abductor paralysis of the larynx.Laryngoscope 1979,89:1779–83
Kleinsasser O, Nolte E. Endolaryngeale arytaenoidektomie und submukoese partielle Chordektomie bei bilateralen StimmlippenlÄhmungen: Berichte über 120 FÄlle.Laryngol Rhinol 1981,60:397–401
Ejnell H, Mansson I, Hallen O et al. A simple operation for bilateral vocal cord paralysis.Laryngoscope 1984,94:954–8
Annyas AA, van Overbeek JJM, Ramon Escajadillo J et al. CO2 laser in malignant lesions of the larynx.Laryngoscope 1984,94:836–8
Davis RK, Jako GJ, Hyams VJ et al. The anatomic limitations of CO2 laser cordectomy.Laryngoscope 1982,92:900–4
Jako GJ. Laser surgery of the vocal cords.Laryngoscope 1972,82:2204–16
Strong MS, Jako GJ. Laser surgery in the larynx.Ann Otol Rhinol Laryngol 1972,81:791–8
Tucker HM. Complications after surgical management of the paralysed larynx.Laryngoscope 1983,93:295–8
Ossof RH, Karlan MS, Sisson GA. Endoscopic laser arytenoidectomy.Lasers Surg Med 1983,2:293–9
van Overbeek JJM. Laser applications in the airway.Tumor Diagnostiek und Therapie 1986,7:26–8
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Holm, A.F., Wouters, B. & Van Overbeek, J.J.M. CO2 laser cordectomy for bilateral vocal-cord paralysis. Laser Med Sci 4, 93–96 (1989). https://doi.org/10.1007/BF02032604
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DOI: https://doi.org/10.1007/BF02032604