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CO2 and KTP-532 laser cordectomy for bilateral vocal fold paralysis

Published online by Cambridge University Press:  29 June 2007

L. Manolopoulos ,
P. Stavroulaki ,
J. Yiotakis ,
J. Segas  and
G. Adamopoulos
L. Manolopoulos
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece
P. Stavroulaki
Affiliation:
Department of Otolaryngology, University of Bristol, Southmead Hospital, UK
J. Yiotakis*
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece
J. Segas
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece
G. Adamopoulos
Affiliation:
Ear, Nose and Throat Department, Faculty of Medicine, University of Athens, Greece
*
Address for correspondence: J. Yiotakis, M.D., 98 Vas. Sophias Ave., GR-115 28 Athens, Greece. Fax: 0030 1 6250611
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Abstract

Laryngeal obstruction due to bilateral vocal fold paralysis has been treated in many different ways. The CO2 laser or KTP-532 laser endoscopic cordectomy described in this report is a slight modification of the posterior partial cordectomy proposed by Dennis and Kashima. This technique was used in 18 patients (14 with the CO2 and four with the KTP-532 laser). Prophylactic tracheostomy was performed preoperatively. Post-operative results were excellent in nine cases, good in seven cases and poor in two cases who had to remain with a permanent tracheostomy tube with a speaking valve. The main complications noted were the formation of a granuloma (seven cases) and arytenoid oedema (six cases). Revision surgery was performed in the seven cases with granuloma formation and in the two with persistent oedema. The results and the post-operative findings from the use of the two lasers were similar.

Keywords

Vocal foldParalysisLaser surgeryComplications
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 113 , Issue 7 , July 1999 , pp. 637 - 641
Copyright
Copyright © JLO (1984) Limited 1999

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Footnotes

Presented in: 8th Panhellenic Congress in Otolaryngology Head and Neck Surgery, Lemesos Cyprus. November 2–5, 1995.

References

Bigenzahn, W., Hoefler, H. (1996) Minimally invasive laser surgery for the treatment of bilateral vocal cord paralysis. Laryngoscope 106: 791–793.CrossRefGoogle ScholarPubMed
Courey, M. S., Ossoff, R. H. (1996) Laser applications in adult laryngeal surgery. Otolaryngologic Clinics of North America 29(6): 973–986.CrossRefGoogle ScholarPubMed
Crumley, R. (1993) Endoscopic laser medial arytenoidectomy for airway management in bilateral laryngeal paralysis. Annals of Otology, Rhinology and Laryngology 102: 81–84.CrossRefGoogle ScholarPubMed
Dennis, D. P., Kashima, H. (1989) Carbon dioxide laser posterior cordectomy for treatment of bilateral vocal cord paralysis. Annals of Otology, Rhinology and Laryngology 98: 930–934.CrossRefGoogle ScholarPubMed
Hall, R. R. (1971) The healing of tissues incised by a carbon dioxide laser. British Journal of Surgery 58: 222–225.CrossRefGoogle ScholarPubMed
Hendrick, D. A., Meyers, A. (1995) Wound healing after laser surgery. Otolaryngologic Clinics of North America 28(5): 969–986.CrossRefGoogle ScholarPubMed
Hoover, W. B. (1932) Bilateral abductor paralysis, operative treatment of submucus resection of the vocal cord. Archives of Otolaryngology 15: 337–355.Google Scholar
Jackson, C. (1922) Ventriculocordectomy, a new operation for the cure of goitrous glottic stenosis. Archives of Surgery 4: 257–274.CrossRefGoogle Scholar
King, B. T. (1939) A new and function restoring operation for bilateral abductor fold paralysis. Journal of the American Medical Association 112: 814–823.CrossRefGoogle Scholar
Kyzer, M. D., Aly, A., Davidson, J. M., Reinisch, L., Ossoff, R. H. (1993) Subablation effects of the KTP laser on wound healing. Lasers Surgical Medicine 13: 62–71.CrossRefGoogle Scholar
Lesinski, S. G., Palmer, A. (1989) Lasers in otosclerosis: CO2 vs argon and KTP-532. Laryngoscope 99: 1–8.CrossRefGoogle ScholarPubMed
Linder, A., Lindholm, C. E. (1992) Vocal fold lateralization using carbon dioxide laser and fibrin glue. Journal of Laryngology and Otology 106: 226–230.CrossRefGoogle ScholarPubMed
Montgomery, W. W. (1989) Surgery of the Upper Respiratory System. 2nd Edition. Vol. 2, Lea and Febiger, Philadelphia, PA, p. 651.Google Scholar
Ossoff, R. H., Coleman, J. A., Courey, M. S., Duncave, J. A., Werkhaven, J. A., Reinisch, L. (1994) Clinical applications of lasers in otolaryngology – head and neck surgery. Lasers Surgical Medicine 15: 217–248.CrossRefGoogle ScholarPubMed
Ossoff, R. H., Duncavage, J. A., Shapshay, S. M., Krespi, Y. P., Sisson, G. A. (1990) Endoscopic laser arytenoidectomy revisited. Annals of Otology, Rhinology and Laryngology 99: 764–771.CrossRefGoogle ScholarPubMed
Ossoff, R. H., Karlan, M. S., Sisson, G. A. (1983) Endoscopic laser arytenoidectomy. Lasers in Surgery and Medicine 2: 293–299.CrossRefGoogle ScholarPubMed
Rathfoot, C. J., Coleman, J. A. (1996) Laser utilization in the oral pharynx. Otolaryngologic Clinics of North America 29: 963–972.CrossRefGoogle ScholarPubMed
Remacle, M., Millet, B., Van Heule, P., Du Vivier, P. (1989) Clinical application of the high resolution frequency analyser. Folia Phoniatrica (Basel) 4: 259–269.CrossRefGoogle Scholar
Rontal, M., Rontal, E. (1990) Endoscopic laryngeal surgery for bilateral midline vocal fold obstruction. Annals of Otology, Rhinology and Laryngology 99: 605–610.CrossRefGoogle Scholar
Szmeja, Z., Wojtowicz, J. G. (1995) Laser arytenoidectomy in the treatment of bilateral vocal cord paralysis. Advances in Otorhinolaryngology 49: 182–184.Google ScholarPubMed
Thornell, W. C. (1948) Intralaryngeal approach for arytenoidectomy in bilateral ahductor vocal cord paralysis. Archives of Otolaryngology 47: 505–508.CrossRefGoogle Scholar
Tucker, H. M. (1976) Human laryngeal reinnervation. Laryngoscope 86: 769–799.CrossRefGoogle ScholarPubMed
Wetmore, S. J., Key, J. M., Suen, J. V. (1985) Complications of laser surgery for laryngeal papillomatosis. Laryngoscope 95: 798–801.CrossRefGoogle ScholarPubMed
Woodman, D. (1946) A modification of the extralaryngeal approach to arytenoidectomy for bilateral abductor paralysis. Archives of Otolaryngology 43: 63–65.CrossRefGoogle ScholarPubMed