Bilateral Abductor Vocal Fold Paralysis; Outcomes of Surgical Management in Adult Yemeni Patients

Yıl 2024, Cilt: 34 Sayı: 2, 51 - 54, 10.06.2024

Ali Muthanna Nasser Alozaib

https://doi.org/10.26650/Tr-ENT.2024.1414954

Öz

Objective: Bilateral vocal fold paralysis is characterised by complete or partial immobilisation of the vocal folds, resulting in narrowing of the airway at the glottic level and breathing difficulty. This study aimed to evaluate the outcomes of surgical treatments for bilateral vocal cord paralysis, focussing on airway patency, voice quality, and associated complications.

Materials and Methods: A prospective study was conducted on 25 female patients, aged 20–50 years, who presented to our department between June 2016 and May 2021 with a diagnosis of bilateral vocal cord paralysis. All patients underwent posterior cordotomy or partial arytenoidectomy.

Results: Following surgery, significant improvement was observed in breathing, and voice quality improved to an acceptable level over a 2-month period. The applied surgical procedures demonstrated satisfactory outcomes in terms of breathing and voice functions.

Conclusion: The findings of this study suggest that posterior cordotomy and partial arytenoidectomy are effective surgical interventions for treating bilateral abductor vocal fold paralysis. These procedures resulted in improved airway patency and acceptable voice quality, thereby providing satisfactory outcomes for patients.

Anahtar Kelimeler

Posterior cordotomy, Bilateral vocal fold paralysis, Arytenoidectomy, Bilateral abductor palsy, outcomes, Yemen

Kaynakça

• Sapundizhiev N, Lichtenberger B, Eckel HE, Friedrick G, Zenev I, Toohil RJ, et al. Surgery of adult bilateral vocal fold paralysis in adduction : history and trends. Eur Arch Otorhinolaryngol 2008;265(12):1501-14. google scholar
• Gupta J, Varshney S, Bist SS, Bhgat S. Clinico-etiological study of vocal cord paralysis.India J Otolaryngol Head Neck Surg 2013;65(1):16-9. google scholar
• Issac ME. Effect of Kashima’surgery in bilateral abductor vocal cord palsy. IJOPL 2017;7(1):10-2. google scholar
• Funk RT, Jabbour J.Robey T. Factors associated with tracheotomy and decannulation in pediatric bilateral vocal fold immobility. Int J Pediatr Otorhinolaryngol 2015;79(6):595-9. google scholar
• Lesnik M, Thierry B, Blanchard M, Glynn F, Leboulanger N. Idiopathic bilateral vocal cord paralysis in infants : cases series and literatures review. Laryngoscope 2015;125(7):1724-8. google scholar
• Vajpayee D, Vaid D, Saha R, Goyal A. Surgical management of bilateral arytenoidectomy. Indian J Otolaryngol Head and Neck Surg 2021;73(3):340-5. google scholar
• Gandhi S. Management of bilateral abductor palsy: posterior cordectomy with partial arytenoidectomy, endoscopic approach using CO2 laser. J Laryngol Voice 2021;1(2):66-9. google scholar
• King BT. A new and function restoring operation for bilateral abductor cord paralysis. JAMA 1946;112(9):814-23. google scholar
• Woodman D. A modification of the extralaryngeal approach to arytenoidectomy for bilateral abductor paralysis. Arch Otolaryngol (1925) 1946;43:63-5. google scholar
• Thornell WC. Intralaryngeal approach for arytenoidectomy in bilateral abductor vocal cord paralysis. Arch Otolaryngol (1925) 1948;47(4):505-8. google scholar
• Dennis DP, Kashima H. Carbon dioxide laser posterior cordectomy for treatment of bilateral vocal cord paralysis. Ann Oto Rhinol Laryngol 1989;98(12);930-4. google scholar
• Crumley RL. Endoscopic Laser Medial Arytenoidectomy for Airway Management in Bilateral Laryngeal Paralysis. Ann Otol Rhinol Laryngol 1993;102(2):81-4. google scholar
• Lee JW, Bon-Marion N, Smith ME. Marie JP. Bilateral selective laryngeal re-innervation for bilateral vocal fold paralysis in children. AMA Otolaryngol Head Neck Surg 2020;146(5):401-7. google scholar
• Mueller AH, Hagen R, Pototschnig C, Foerster G, Grossmann W, Baumbusch K, et al. Laryngea pacing for bilateral vocal fold paralysis: voice and respiration aspects. Laryngoscope 2017;127(8):1838-44. google scholar
• Mueller AH, Hagen R, Foerster G, Grossmann W, Baumbusc K, Pottschnig C. Laryngeal pacing via an implantable stimulator for the rehabilitation of subjects suffering from bilateral vocal fold paralysis a prospective first in human study. Laryngoscpe 2016;126(8):1810-6. google scholar
• Hillel AT,Giraldez L, Samad I, Gross J, Klein AM, Johns MM. Voice outcomes following posterior cordotomy with medial arytenoidectomy in patients with bilateral vocal cord immobility. JAMA Otolaryngol Head Neck Surg 2015;141(8):728-32. google scholar
• Czesak MA, Osuch-Wojcikiewicz E, Niemczyk K. Methods of surgical treatment of bilateral vocal fold paralysis. Endokrynol Pol 2020;71(4):350-8. google scholar
• Dispensa F, Dispensa C, Marchese D, Kulamarva G, Saraniti C. Treatment of bilateral vocal cord paralysis following permanent recurrent laryngeal nerve injury. Am J Otolarygol 2012;33(3):285-8. google scholar
• Li Y, Garrett G, Zealear D. Current treatment option for bilateral vocal fold paralysis: A state of the art review. Clin Exp Otorhinolaryngol 2017;10(3):203-12. google scholar
• Bizakis JG, Papadakis CE, Karatzanis AD, Skoulakis EC, Kyrmizakis DE, Hajiiooannou JK, et al. The combined endoscopic CO2 laser posterior cordoctomy and total arytenoidectomy for treatment of bilateral vocal cord paralysis. Clin Otolaryngol Allied Sci 2004;29(1):51-4. google scholar
• Bosley B, Rosen CA, Simpson CB, McMullin BT, Gartner-Schmidt JL. Medial arytenoidectomy versue transverse cordotomy as treatment for bilateral vocal fold paralysis. Ann Oto Rhinol laryngol 2005;114(12):922-6. google scholar
• Aubry K, Leboulanger N, Harris R, Genty E, Denoyelle F, Garabedian EN. Laser arytenoidectomy in management of bilateral vocal cord paralysis in children. Int J Pediatr Otorhinolaryngol. 2010;74(5):451-5. google scholar
• Lewis AF, Carron JO, Vedanarayanan V. Congenital bilateral vocal fold paralysis and charcot-Marie tooth disease. Ann Oto Rhinol Laryngol 2010;119(1):47-9. google scholar