Postoperative Evaluation of Laser Arytenoidectomy.
- Author:
Soon Yuhl NAM
1
;
Jae Jin LEE
Author Information
1. Department of Otolaryngology, Asan Medical Center, College of Medicine, Ulsan University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Bilateral vocal cord palsy;
Laser arytenoidectomy
- MeSH:
Humans;
Respiratory Function Tests;
Retrospective Studies;
Tracheostomy;
Vocal Cord Paralysis;
Voice
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1997;40(7):965-969
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: As methods of improving the airway insufficiency of patients with bilateral vocal cord paralysis, a variety of procedures have been developed such as tracheostomy and endoscopic arytenoidectomy. OBJECTIVES: Our objective was to assess the effectiveness of laser arytenoidectomy in a view to decannulation, aspiration, pulmonary function, and voice analysis in a retrospective study. MATERIALS AND METHODS: Five patients with bilateral vocal cord paralysis had been performed laser arytenoidectomy. Postoperatively, presence of aspiration, decannulation timing and complications were evaluated. The pulmonary function tests were performed preoperatively and postoperatively, while voice analysis was performed only postoperatively. RESULTS: Aspiration was not noticed in all patients after arytenoidectomy, and four patients were decannulated within three months after surgery. Endotracheal tube was ignited in one patient. The results of pulmonary function tests and voice analysis were satisfactory. CONCLUSION: We concluded that laser arytenoidectomy was reliable in the management of the bilateral vocal cord palsy.
