Skip to main content
SpringerLink
Log in

Evaluation of the lung function test in reversible glottis-dilating operations

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

Abstract

Our aim was to obtain an objective evaluation of the airway before and after reversible glottis-dilating operations using the lung function test. Bilateral abductor vocal cord paralysis remains mostly a complication of thyroid surgery. After thyroid surgery, the paralysis is potentially reversible, and the patient has a chance for recovery mostly in the first 6 months. According to these considerations, a reversible vocal cord laterofixation procedure was used instead of tracheostomy. The operations were performed endoscopically using high-frequency JET ventilation and the special endo-extralaryngeal suture technique by Lichtenberger. This technique was used in 92 cases. The pre- and postoperative data of reversible glottis-dilating techniques could be compared in 23 non-selected patients. Lung function tests that were performed were forced inspiratory volume (FIV1), forced expiratory volume (FEV1), peak inspiratory flow rate (PIF), peak expiratory flow rate (PEF) and resistance of the airways (Raw). For the evaluation of the functional results, we used the body-pletysmograph. Our aim was to obtain a quantitative evaluation of the results. These values allow us to compare the results achieved by using different glottis-dilating methods. The FEV1 (forced expiratory volume) improved 25%, and the FIV1 (forced inspiratory volume) improved 39% after the operations on average. PEF (peak expiratory flow rate) and PIF (peak inspiratory flow rate) improved 37 and 45% after glottis-dilating surgery on average. The Raw (resistence of airways) was 271.5% on average before the operations, and after reversible glottis-dilating operations decreased to a level of 200.6%.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1 A–E
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Lichtenberger G (1983) Endo-extralaryngeal needle carrier instrument. Laryngoscope 93:1348–1350

    CAS  PubMed  Google Scholar 

  2. Woodson BT, McFadden EA, Toohill RJ (1991) Clinical experience with the Lichtenberger endo-extralaryngeal needle carrier. Laryngoscope 101:1019–1023

    CAS  PubMed  Google Scholar 

  3. Lichtenberger G, Toohill RJ (1998) Endo-extralaryngeal suture technique for endoscopic lateralisation of paralysed vocal cords. Oper Tech Otolaryngology Head Neck Surg (Chicago) 9:166–171

    Google Scholar 

  4. Lichtenberger G (1999) Reversible immediate and definitive lateralisation of paralysed vocal cords. Eur Arch Otolaryngol 256:407–411

    Article  CAS  Google Scholar 

  5. Incze F, Lichtenberger G, Medgyesy M, Vámos Z (1984) Modifiziertes Verfahren der ohne Intubation durchgefuhrten Anaestesie bei laryngomikroskopichen Eingriffen Anaesthesist 33:276–283

    CAS  Google Scholar 

  6. Lichtenberger G, Kelemen S (1984) Möglichkeiten der chirurgishen Behandlung von Kehlkopfverengungen und pletysmograpische Objektivierung der Resultate. Laryngol Rhinol Otol 63:289–294

    Google Scholar 

  7. Lichtenberger G (2002) Reversible lateralisation of the paralyzed vocal cord without tracheostomy. Ann Otol Rhinol Laryngol 111:21–26

    PubMed  Google Scholar 

  8. Werner JA, Lippert BM (2002) Laterofixation der Stimmlippe statt Tracheotomie bei akuter beidseitiger Stimmlippenparese. Deutsche Medizinische Wochenschrift 127:917–922

    Article  CAS  PubMed  Google Scholar 

  9. Misiolek M, Namyslowski G, Warmuzinski K, Karpe J, Rauer R, Misiolek H (2003) The influence of laser arytenoidectomy on ventilation parameters in patients with bilateral vocal cord paralysis. Eur Arch Otorhinolaryngol 260:381–385

    Article  PubMed  Google Scholar 

  10. Bogaard JM, Pauw KH, VersprilleA, Stam H, Verbraak AFM, Maas AJJ (1987) Maximal expiratory and inspiratory flow-volume loop curves in bilateral vocal cord paralysis. ORL 49:35–41

    CAS  PubMed  Google Scholar 

  11. Sittel C, Stennert E, Thumfart WF, Dapunt U, Eckel HE (2001) Prognostic value of laryngeal electromyography in vocal fold paralysis. Arch Otolaryngol Head Neck Surg 127:155–160

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Otorhinolaryngology and Head and Neck Surgery, Szent Rókus Hospital and Institutions, Gyulai Pál u.2., 1085, Budapest, Hungary

    S. Leitersdorfer, G. Lichtenberger, A. Bihari & I. Kovács

Authors
  1. S. Leitersdorfer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. Lichtenberger
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. A. Bihari
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. I. Kovács
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Leitersdorfer.

Additional information

This paper was presented at the 4th ELS Congress in Brussels on 5–7 September 2002.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Leitersdorfer, S., Lichtenberger, G., Bihari, A. et al. Evaluation of the lung function test in reversible glottis-dilating operations. Eur Arch Otorhinolaryngol 262, 289–293 (2005). https://doi.org/10.1007/s00405-004-0814-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-004-0814-0

Keywords

Search

Navigation