A Ten-Year Kuala Lumpur Review on Laser Posterior Cordectomy for Bilateral Vocal Fold Immobility
- Author:
Azman Mawaddah
;
Mat Baki Marina
;
Sawali Halimuddin
;
Mohd Yunus Mohd Razif
;
Sani Abdullah
- Publication Type:Journal Article
- Keywords:
vocal cord paralysis;
pulsed laser tissue ablation;
stridor;
recurrent laryngeal nerve;
thyroidectomy
- From:Malaysian Journal of Medical Sciences
2016;23(4):65-70
- CountryMalaysia
- Language:English
-
Abstract:
Bilateral vocal fold immobility (BVFI) is commonly caused by injury to the recurrent
laryngeal nerve (RLN) and leads to stridor and dyspnea of varying onsets. A retrospective study
was done at the Department of Otorhinolaryngology of Universiti Kebangsaan Malaysia Medical
Centre on laser microsurgical posterior cordectomy for BVFI. The objectives were to identify
the average duration of onset of stridor from the time of insult and to evaluate the outcome of
laser posterior cordectomy as a surgical option. From 1997 to 2007, a total of 31 patients with
BVFI were referred for surgery. Twelve patients had tracheostomy done prior to the procedure,
whereas 19 patients were without tracheostomy. Ten patients were successfully decannulated,
and only 4 patients had complications related to the procedure. The minimum onset of stridor
was 7 months, maximum onset of stridor was 28 years, and the mean onset of stridor was 8.7
years. The commonest complication observed was posterior glottic adhesion following bilateral
posterior cordectomy. Laser endolaryngeal posterior cordectomy is an excellent surgical option
as it enables successful decannulation or avoidance of tracheostomy in patients with BVFI. The
onset of stridor took years after the insult to the recurrent laryngeal nerves.
- Full text:P020170717465481823316.pdf
