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Arytenoidopexy for bilateral vocal fold paralysis in young children

Published online by Cambridge University Press:  29 June 2007

Jean-Michel Triglia ,
Jean-François Belus  and
Richard Nicollas
Jean-Michel Triglia*
Affiliation:
Department of Otorhinolaryngology, Unit of Paediatric Otorhinolaryngology, La Timone Children's Hospital, University of Marseille, France
Jean-François Belus
Affiliation:
Department of Otorhinolaryngology, Unit of Paediatric Otorhinolaryngology, La Timone Children's Hospital, University of Marseille, France
Richard Nicollas
Affiliation:
Department of Otorhinolaryngology, Unit of Paediatric Otorhinolaryngology, La Timone Children's Hospital, University of Marseille, France
*
Address for correspondence: Jean-Michel Triglia, M.D., Departement d'Otorhinolaryngologie, Hôpital de la Timone, Bd Jean Moulin, 13385 Marseille Cedex 5, France. Fax: (33) 04 91 38 77 57
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Abstract

The purpose of this retrospective study was to describe and evaluate the results of arytenoidopexy performed by the external laterocervical approach in 15 consecutive children presenting bilateral vocal fold paralysis causing life-threatening airway compromise. Mean age at the time of surgery was 20 months and mean follow-up was 42 months. At the end of follow-up all patients were in good health and did not need special care for breathing. No abduction movement has been observed on the opposite vocal fold since arytenoidopexy. One failure subsequently required arytenoidectomy. The findings of this study suggest that arytenoidopexy is an effective surgical treatment for life-threatening bilateral vocal fold paralysis in young children.

Keywords

Vocal fold paralysisArytenoid cartilagesurgeryChild
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 11 , November 1996 , pp. 1027 - 1030
Copyright
Copyright © JLO (1984) Limited 1996

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