Endoscopic laser medial arytenoidectomy for treatment of bilateral vocal fold paralysis

被引：0
作者：
Philippe Gorphe
Dana Hartl
Adi Primov-Fever
Stephane Hans
Lise Crevier-Buchman
Daniel Brasnu
机构：
[1] APHP,Department of Otolaryngology, Head and Neck Surgery
[2] Hopital Europeen Georges Pompidou,Phonetics and Phonology Laboratory
[3] University Paris Descartes Sorbonne Cité,Department of Head and Neck Oncology
[4] CNRS,Department of Otolaryngology, Head and Neck Surgery
[5] Institut Gustave Roussy,undefined
[6] The Chaim Sheba Medical Center,undefined
来源：
European Archives of Oto-Rhino-Laryngology | 2013年 / 270卷
关键词：
Carbon dioxide laser; Medial arytenoidectomy; Vocal fold paralysis; Acoustic and spirometric parameters; Voice quality;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
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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页码：1701 / 1705
页数：4
相关论文
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