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Partial arytenoidectomy with transoral vocal fold lateralisation in treating airway obstruction secondary to bilateral vocal fold immobility

Published online by Cambridge University Press:  26 November 2021

A Al Omari ,
I Atallah  and
Paul F Castellanos
A Al Omari*
Affiliation:
Department of Special Surgery, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan
I Atallah
Affiliation:
Otolaryngology – Head and Neck Surgery Department, Grenoble Alpes University Hospital, France
Paul F Castellanos
Affiliation:
Mercy Health – St Rita's Ear, Nose and Throat, Lima, Ohio, USA
*
Author for correspondence: Dr Ahmad Al Omari, Department of Special Surgery, Jordan University of Science and Technology, Irbid 22110, PO Box: 3030, Jordan E-mail: ahmedjoo79@gmail.com
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Abstract

Objective

To report the outcome of 18 patients with a tracheostomy secondary to bilateral vocal fold immobility, who were managed using reconstructive transoral laser microsurgical techniques.

Methods

A retrospective review was conducted of the surgical outcome of 18 patients with bilateral vocal fold immobility and a tracheostomy resulting from different aetiologies. Follow-up duration ranged from one to five years.

Results

A total of 18 patients had a tracheostomy at presentation because of bilateral true vocal fold immobility and stridor. All cases were treated using reconstructive transoral laser microsurgery with arytenoidectomy and vocal fold lateralisation. All patients were successfully decannulated by eight weeks after surgery.

Conclusion

Reconstructive transoral laser microsurgery using partial arytenoidectomy with vocal fold lateralisation is minimally invasive, feasible, safe and effective for airway reconstruction in patients who present with stridor due to bilateral true vocal fold immobility.

Keywords

LarynxAirway ObstructionArytenoid CartilageLaser SurgeryVocal CordsStridor
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 9 , September 2023 , pp. 997 - 1002
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Dr A Al Omari takes responsibility for the integrity of the content of the paper

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