Korean J Otolaryngol-Head Neck Surg.
1997 Jul;40(7):965-969.
Postoperative Evaluation of Laser Arytenoidectomy
- Affiliations
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- 1Department of Otolaryngology, Asan Medical Center, College of Medicine, Ulsan University, Seoul, Korea.
Abstract
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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.
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