Artikel
Endoscopic arytenoid lateropexy as revision surgery for bilateral vocal cord impairment
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Veröffentlicht: | 19. April 2011 |
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Gliederung
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Several surgical techniques have been introduced for the treatment of glottic stenoses. Sometimes primer surgery could not provide satisfactory results, the patients might be decannulated, but their quality of life is inadequate. For them a secondary, revision operation should be planned. It is questionable which glottis widening method may provide the best results in these severe, complicated cases. In our department excellent results about arytenoid lateropexy performed for primary treatment of BVCI were observed, and then this technique was introduced as secondary, revision surgery. The effectiveness of arytenoid lateropexy was demonstrated in cases after failed simple suture vocal cord laterofixation, uni- and bilateral arytenoidectomy, and open Réthi II operation. Spirometric, phoniatric tests and subjective ‘Quality of Life’ questionnaire were used to make results of different approaches comparable. These tests proved that the minimally invasive endoscopic arytenoid lateropexy might provide satisfactory results even in severe cases