PMID: 2501727Jun 1, 1989Paper

A functional approach to lateral fixation in bilateral abductor cord paralysis

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
R G Amedee, W J Mann

Abstract

A modification of the Clerf arytenoidopexy treatment for bilateral vocal cord paralysis is described; it consists of an external approach with complete unilateral division of the posterior cricoarytenoid and interarytenoid muscles. The entire arytenoid is next mobilized and tilted laterally, then fixed into position along the posterior margin of the thyroid cartilage by two or three permanent retention sutures. Careful placement of these sutures renders the laryngeal mucosa maximally undisturbed and is largely responsible for the predictable results achieved with this technique. During the past 2 years, 18 patients received this static procedure, and 17 of 18 (94%) required a tracheotomy as part of the treatment because of a uniformly severe degree of glottic obstruction. All tracheotomy patients have been permanently decannulated (on an average) 14 days after surgery. The evaluation of each patient included pre- and post-operative measurements of airway resistance that correlated well with the width of the posterior commissure, and proved invaluable in successful decannulation efforts.

References

Nov 1, 1968·Archives of Otolaryngology·W L Downey, W G Kennon

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Citations

Oct 1, 1990·The Annals of Otology, Rhinology, and Laryngology·R H OssoffG A Sisson
Feb 25, 2003·The Annals of Otology, Rhinology, and Laryngology·Hans Edmund EckelChristian Sittel
Aug 21, 2001·The Annals of Otology, Rhinology, and Laryngology·E M FriedmanM Sulek
Jul 1, 1994·The Annals of Otology, Rhinology, and Laryngology·S D GrayH Dove
Jan 19, 2000·Otolaryngologic Clinics of North America·A L de JongE M Friedman
May 25, 2007·Annales d'oto-laryngologie et de chirurgie cervico faciale : bulletin de la Société d'oto-laryngologie des hôpitaux de Paris·P SchultzC Debry

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