Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-02T19:50:15.153Z Has data issue: false hasContentIssue false

Adduction arytenopexy for vocal fold paralysis: indications and technique

Published online by Cambridge University Press:  16 March 2006

Steven M. Zeitels
Affiliation:
Department of Surgery – Harvard Medical School – Massachusetts General Hospital, Boston, USA.
Marcelo Mauri
Affiliation:
Department of Surgery – Harvard Medical School – Massachusetts General Hospital, Boston, USA.
Seth H. Dailey
Affiliation:
Department of Surgery – Harvard Medical School – Massachusetts General Hospital, Boston, USA.

Abstract

Adduction arytenopexy was designed as an innovation to arytenoid adduction, however the pragmatic issues regarding patient selection for these procedures has not been comprehensively assessed.

A prospective examination was performed on 100 consecutive patients who had undergone laryngoplastic phonosurgical reconstruction for paralytic dysphonia. Seventy-seven of 100 (77 per cent) were judged pre-operatively to gain potentially significant phonatory enhancement from an arytenoid procedure. Fifty-six of 77 (73 per cent) underwent adduction arytenopexy; 17 of 77 (22 per cent) were judged pre-operatively to have inadequate respiratory abduction of the contralateral arytenoid and two out of 77 (three per cent) had athletic aerodynamic requirements. In another two out of 77 (three per cent), there was a chance of favourable reinnervation and thus it was not the preferred method.

The majority of patients were judged pre-operatively to gain potentially substantial phonatory enhancement from an arytenoid procedure. However, in this series, approximately 25 per cent of the patients were considered to be unsuitable candidates for an arytenoid medializing procedure, primarily because it was deemed that the operation could result in an inadequate airway.

Type
Research Article
Copyright
© 2004 Royal Society of Medicine Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)