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Surgical management of bilateral immobile vocal folds and long-term follow-up

Published online by Cambridge University Press:  29 June 2007

A. K. Gupta ,
S. B. S. Mann  and
Nitin Nagarkar
A. K. Gupta
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India.
S. B. S. Mann*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India.
Nitin Nagarkar
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India.
*
Address for correspondence: Dr S. B. S. Mann, Department of Otolaryngology–Head and Neck Surgery, Pgimer, Chandigarh 160-012, India.
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Abstract

Sixty-one cases of bilateral immobile vocal folds were classified as traumatic (52.46 per cent), idiopathic (39.34 per cent) or iatrogenic (8.20 per cent). During follow-up the idiopathic group of patients had a better prognosis (p<O.O5) compared to the traumatic or iatrogenic group. A spontaneous recovery was seen in 58.33 per cent of cases in the idiopathic group, 56.25 per cent in the traumatic group and 40.0 per cent in the iatrogenic group within a period of one year. Patients who failed to show spontaneous recovery were either subjected to arytenoidectomy with fold lateralization, endoscopic fold lateralization or laser cordectomy, showing 70.0 per cent, 66.67 per cent and 80.0 per cent recovery respectively. These cases have been discussed.

Keywords

Vocal foldparalysisSurgery
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 5 , May 1997 , pp. 474 - 477
Copyright
Copyright © JLO (1984) Limited 1997

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