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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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References

Bower, C. M., Choi, S. S., Cotton, R. T. (1994) Arytenoidopexy in children. Annals of Otology, Rhinology and Laryngology 103: 271–278.CrossRefGoogle Scholar
Clerf, L. H. (1950) The surgical treatment of bilateral posticus paralysis of the larynx. Laryngoscope 60: 142–151.CrossRefGoogle Scholar
Cohen, S. R. (1973) Arytenoidectomy in children. Laryngoscope 83: 1293–1299.CrossRefGoogle Scholar
Cohen, S. R., Geller, K. A., Birns, J. W., Thompson, J. W. (1982) Laryngeal paralysis in children: a long-term retrospective study. Annals of Otology, Rhinology and Laryngology 91: 417–424.CrossRefGoogle ScholarPubMed
De Gaudemar, I., Roudaire, M., Francois, M., Narcy, P. (1996) Outcome of laryngeal paralysis in neonates: a long-term retrospective study of 113 cases. International Journal of Pediatric Otorhinolaryngology 34: 101–110.CrossRefGoogle ScholarPubMed
Ejnell, H., Mansson, I., Bake, B., Hallen, O., Stenberg, R., Lindstrom, S. (1984) A simple operation for bilateral vocal cord paralysis. Laryngoscope 94: 954–958.CrossRefGoogle ScholarPubMed
Garcin, M., Cagnol, G., Bonnaud, G., Lisbonnis, J. M. (1970) King ou Rethi, leurs indications respectives dans le traitement des paralysies laryngees en adduction. Cahiers ORL 5: 771–784.Google Scholar
Gentille, R. D., Miller, R. H., Woodson, G. E. (1986) Vocal cord paralysis in children 1 year of age and younger. Annals of Otology, Rhinology and Laryngology 95: 622–625.CrossRefGoogle Scholar
Holinger, L. D., Holinger, P. C., Holinger, P. H. (1976) Etiology of bilateral abductor vocal cord paralysis: a review of 389 cases. Annals of Otology, Rhinology and Laryngology 85: 428–436.CrossRefGoogle ScholarPubMed
Kelly, J. D. (1941) Surgical treatment of bilateral paralysis of the abductor muscle. Archives of Otolaryngology, Head and Neck Surgery 33: 293–304.CrossRefGoogle Scholar
King, B. T. (1939) A new and function-restoring operation for bilateral abductor cord paralysis: preliminary report. Journal of American Medical Association 112: 814–823.CrossRefGoogle Scholar
King, B. T. (1949) Progress in dealing with vocal cord paralyses. Journal of International College of Surgeons 12: 288–296.Google ScholarPubMed
Lim, R. Y. (1985) Laser arytenoidopexy. Archives of Otolaryngology, Head and Neck Surgery 98: 262–263.CrossRefGoogle Scholar
Line, W. S., Hawknis, D. B., Kahlstom, E. J., MacLaughlin, E. J. F., Ensley, J. L. (1986) Tracheotomy in infants and young children, the changing perspective, 1970–1985. Laryngoscope 96: 510–515.CrossRefGoogle ScholarPubMed
Narcy, P., Contencin, P., Viala, P. (1990) Surgical treatment for laryngeal paralysis in infants and children. Annals of Otology, Rhinology and Laryngology 90: 124–128.CrossRefGoogle Scholar
Rosin, D. F., Handler, S. D., Potsic, W. P., Wetmore, R. F.Tom, L. W. C. (1990) Vocal cord paralysis in children. Laryngoscope 100: 1174–1179.CrossRefGoogle ScholarPubMed
Scheer, A. A. (1953) Laryngofissure approach in surgical treatment of bilateral abductor paralysis. Archives of Otolaryngology, Head and Neck Surgery 57: 173–181.CrossRefGoogle ScholarPubMed
Swift, A. C., Rogers, J. (1987) Vocal cord paralysis in children. Journal of Laryngology and Otology 101: 169–171.CrossRefGoogle ScholarPubMed
Tucker, H. M. (1983) Complications after surgical management of the paralysed larynx. Laryngoscope 93: 295–298.CrossRefGoogle ScholarPubMed
Tucker, H. M. (1989) Long-term results of nerve-muscle pedicle reinnervation for laryngeal paralysis. Annals of Otology, Rhinology and Laryngology 98: 674–676.CrossRefGoogle ScholarPubMed
Wetmore, R. F., Handler, S. D., Ptosic, W. P. (1982) Pediatric tracheostomy, experience during the last decade. Annals of Otology, Rhinology and Laryngology 91: 628–632.CrossRefGoogle Scholar
Woodmann, D. G. (1946) A modification of the extralaryngeal approach to arytenoidectomy for bilateral abductor paralysis. Archives of Otolaryngology, Head and Neck Surgery 33: 63–65.CrossRefGoogle Scholar
Woodson, G. E., Miller, R. H. (1991) The timing of surgical intervention in vocal cord paralysis. Otolaryngology-Head and Neck Surgery 89: 264–267.CrossRefGoogle Scholar