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2014, Number 2

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Rev Med Inst Mex Seguro Soc 2014; 52 (2)

Management of bilateral vocal cord paralysis with laser cordectomy

Martínez-Oropeza LC, González-Ojeda A, Góvea-Camacho LH, Macías-Amezcua MD, Fuentes-Orozco C

Language: Spanish
References: 28
Page: 162-167
PDF size: 124.39 Kb.


ABSTRACT

Background: Bilateral vocal fold paralysis (BVFP) is characterized by fold immobility in complete adduction or abduction, secondary to a vagus nerve lesion, through the recurrent laryngeal nerve. The manifestation is variable dyspnea and stridor, fatal if the airway is not secured. There are endolaryngeal and extralaryngeal techniques to increase the glottic opening, improving ventilation and deglutition, and the possibility of decannulation and phonation.
Methods: Case series consisting of BVFP patients, treated with posterior cordectomy, from January 2004 to January 2010. Clinical charts were reviewed to obtain data and registries of presurgical and postsurgical control endolaryngoscopies.
Results: Nineteen patients were identifi ed. Twelve (63.2 %) had a tracheotomy cannula in place, and seven (36.8 %) didn’t. Total thyroidectomy was the principal cause of the BVFP in 17 patients (89.5 %). A right cordectomy was performed on 10 patients (52.6 %). At 12 months, endolaryngoscopy detected a 40.26 % average increase in the glottic opening (p ‹ 0.05), allowing for decannulation in 10 (83.3 %) of the tracheotomy patients.
Conclusions: Laser cordectomy is a simple procedure for the treatment of BVFP, with few complications, permitting oronasal ventilation, decannulation and phonation.


REFERENCES

  1. Isaacs RS, Sykes JM. Anatomy and physiology of the upper airway. Anesthesiol Clin North Am. 2002;20(4):733-45.

  2. Rajagopal M, Paul J. Applied anatomy and physiology of the airway and breathing. Indian J Anaesth. 2005;49(4):251-6.

  3. Rosenthal LHS, Benninger MS, Deeb RH. Vocal fold immobility: a longitudinal analysis of etiology over 20 years. Laryngoscope. 2007;117(10):1864-70.

  4. Sinacori JT. Unilateral and bilateral vocal fold paralysis: techniques and controversies in management. Curr Opin Otolaryngol Head Neck Surg. 2002;10(6):472-7.

  5. Fewins J, Simpson CB, Miller FR. Complications of thyroid and parathyroid surgery. Otolaryngol Clin North Am. 2003;36(1):189-206.

  6. Chirilã M, Mureşan R, Cosgarea M, Tomescu E. Surgical management of Gerhardt syndrome. Chirurgia (Bucur). 2010;105(3):327-30.

  7. Richer SL, Randolph GW. Management of the recurrent laryngeal nerve in thyroid surgery. Oper Tech Otolaryngol Head Neck Surg. 2009;20(1):29-34.

  8. Sarı S, Erbil Y, Sümer A, Aqcaoqlu O, Bayraktar A, Issever H, et al. Evaluation of recurrent laryngeal nerve monitoring in thyroid surgery. Int J Surg. 2010;8(6):474-8.

  9. Shindo M, Chheda NN. Incidence of vocal cord paralysis with and without recurrent laryngeal nerve monitoring during thyroidectomy. Arch Otolaryngol Head Neck Surg. 2007;133(5):481-5.

  10. Khodaei I, Howarth K, Karkanevatos A, Clarke R, Fryer A. Hereditary vocal cord palsy. Int J Pediatr Otorhinolaryngol. 2003;67(4):427-8. Rev Med Inst Mex Seguro Soc. 2014;52(2):162-7 167 Martínez-Oropeza LC et al. Cordectomía con láser en parálisis

  11. Fang TJ, Li H, Gliklich RE, Chen YH, Wang PC, Chuang HF. Quality of life measures and predictors for adults with unilateral vocal cord paralysis. Laryngoscope. 2008;118(10):1837-41.

  12. Leder SB, Ross DA. Incidence of vocal fold immobility in patients with dysphagia. Dysphagia. 2005;20(2):163-7.

  13. Ollivere B, Duce K, Rowlands J, Harrison P, O’Reilly BJ. Swallowing dysfunction in patients with unilateral vocal fold paralysis: aetiology and outcomes. J Laryngol Otol. 2006;120(1):38-41.

  14. Simpson B. Treatment of vocal fold paralysis. En: Bailey BJ, Johnson JT, editores. Head and neck surgery. Otolaryngology. Fourth edition. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 848-66.

  15. Joshua B, Feinmesser R, Zohar L, Shvero J. Endoscopic laser-assisted posterior ventriculocordectomy without tracheostomy for bilateral vocal cord immobility. Isr Med Assoc J. 2004;6(6):336-8. Texto libre en http://www.ima.org.il/FilesUpload/ IMAJ/0/52/26110.pdf

  16. Dispenza F, Dispenza C, Marchese D, Kulamarva G, Saraniti C. Treatment of bilateral vocal cord paralysis following permanent recurrent laryngeal nerve injury. Am J Otolaryngol. 2012;33(3):285-8.

  17. Olthoff A, Zeiss D, Laskawi R, Kruse E, Steiner W. Laser microsurgical bilateral posterior cordectomy for the treatment of bilateral vocal fold paralysis. Ann Otol Rhinol Laryngol. 2005;114(8):599-604.

  18. Shvero J, Koren R, Stern Y, Segal K, Feinmesser R, Hadar T. Laser posterior ventriculocordectomy with partial arytenoidectomy for the treatment of bilateral vocal fold immobility. J Laryngol Otol. 2003;117(7):540-3.

  19. Segas J, Stavroulakis P, Manolopoulos L, Yiotakis J, Adamopoulos G. Management of bilateral vocal fold paralysis: experience at the university of Athens. Otolaryngol Head Neck Surg. 2001;124(1):68-71.

  20. Jacobson BH, Johnson A, Grywalski C, Silbergleit A, Jaconsen G, Benninger MS. The voice handicap index (VHI): Development and validation. Am J Speech Lang Pathol. 1997;6(3):66-70.

  21. Dennis DP, Kashima H. Carbon dioxide laser posterior cordectomy for treatment of bilateral vocal cord paralysis. Ann Otol Rhinol Laryngol. 1989;98(12 Pt 1):930-4.

  22. Ferri E, García-Purriños F. Tratamiento quirúrgico endoscópico con láser diodo de la parálisis laríngea en aducción. Acta Otorrinolaringol Esp. 2006;57(6):270-4.

  23. Hachiya A, Miwa-Nita L, Silveira-Chrispim F, Imamura R, Hiroshi Tsuji D, Ubirajara-Sennes L. Posterior cordotomy and partial arytenoidectomy for bilateral vocal cord paralysis in adduction therapy. Int Arch Otorhinolaryngol. 2007;11(3):311-6.

  24. Bizakis JP, Papadakis CE, Karatzanis AD, Skoulakis CE, Kyrmizakis DE, Hajiioannou JK, et al. The combined endoscopic CO(2) laser posterior cordectomy and total arytenoidectomy for treatment of bilateral vocal cord paralysis. Clin Otolaryngol Allied Sci. 2004;29(1):51-4.

  25. Elsherief S, Elsheikh MN. Endoscopic radiosurgical posterior transverse cordotomy for bilateral median vocal fold immobility. J Laryngol Otol. 2004;118(3):202-6.

  26. Bigenzahn W, Hoefl er H. Minimally invasive laser surgery for the treatment of bilateral vocal cord paralysis. Laryngoscope. 1996;106(6):791-3.

  27. Bosley B, Rosen CA, Simpson CB, McMullin BT, Gartner Schmidt JL. Medial arytenoidectomy versus transverse cordotomy as a treatment for bilateral vocal fold paralysis. Ann Otol Rhinol Laryngol. 2005; 114(12):922-6.

  28. Laccourreye O, Paz-Escovar MI, Gerhardt J, Hans S, Biacabe B, Brasnu D. CO2 laser endoscopic posterior partial transverse cordotomy for bilateral paralysis of the vocal fold. Laryngoscope. 1999;109 (3):415-8.




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