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Erschienen in: European Archives of Oto-Rhino-Laryngology 5/2013

01.05.2013 | Laryngology

Endoscopic laser medial arytenoidectomy for treatment of bilateral vocal fold paralysis

verfasst von: Philippe Gorphe, Dana Hartl, Adi Primov-Fever, Stephane Hans, Lise Crevier-Buchman, Daniel Brasnu

Erschienen in: European Archives of Oto-Rhino-Laryngology | Ausgabe 5/2013

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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.
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Metadaten
Titel
Endoscopic laser medial arytenoidectomy for treatment of bilateral vocal fold paralysis
verfasst von
Philippe Gorphe
Dana Hartl
Adi Primov-Fever
Stephane Hans
Lise Crevier-Buchman
Daniel Brasnu
Publikationsdatum
01.05.2013
Verlag
Springer-Verlag
Erschienen in
European Archives of Oto-Rhino-Laryngology / Ausgabe 5/2013
Print ISSN: 0937-4477
Elektronische ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-013-2414-3

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