Susanne Wiegand1, Afshin Teymoortash2, Holger Hanschmann3. 1. Department of Otorhinolaryngology, Head and Neck Surgery, University of Leipzig, Leipzig, Germany Susanne.wiegand@medizin.uni-leipzig.de. 2. Department of Otorhinolaryngology, Head and Neck Surgery University Hospital Giessen and Marburg GmbH, Marburg, Germany. 3. Private Practice for Otorhinolaryngology, Allergology, Phoniatrics and Pedaudiology, Frankfurt am Main, Germany.
Abstract
BACKGROUND: Bilateral vocal fold paralysis can result in shortness of breath and severe dyspnea which can be life-threatening. PATIENTS AND METHODS: Thirty-five patients with bilateral vocal fold paralysis who underwent endo-extralaryngeal laterofixation according to Lichtenberger were retrospectively analyzed regarding etiology, symptoms, treatment and complications. RESULTS: In 27 patients, laterofixation of the vocal cord alone was performed. Eight patients underwent laterofixation and additional posterior chordectomy of the opposite vocal cord according to Dennis and Kashima. The time of intervention ranged from 1 day to 38 years after the onset of bilateral vocal cord immobility. The intraoperative course was uneventful in all patients. None of the patients had postoperative aspiration. Postoperative voice function was acceptable in all patients. Complications of suture laterofixation were laryngeal edema, formation of fibrin, and malposition of the suture. CONCLUSION: Laterofixation of the vocal cords according to Lichtenberger is a safe and easy method that can be used as a first-stage treatment of vocal cord paralysis. Copyright
BACKGROUND: Bilateral vocal fold paralysis can result in shortness of breath and severe dyspnea which can be life-threatening. PATIENTS AND METHODS: Thirty-five patients with bilateral vocal fold paralysis who underwent endo-extralaryngeal laterofixation according to Lichtenberger were retrospectively analyzed regarding etiology, symptoms, treatment and complications. RESULTS: In 27 patients, laterofixation of the vocal cord alone was performed. Eight patients underwent laterofixation and additional posterior chordectomy of the opposite vocal cord according to Dennis and Kashima. The time of intervention ranged from 1 day to 38 years after the onset of bilateral vocal cord immobility. The intraoperative course was uneventful in all patients. None of the patients had postoperative aspiration. Postoperative voice function was acceptable in all patients. Complications of suture laterofixation were laryngeal edema, formation of fibrin, and malposition of the suture. CONCLUSION: Laterofixation of the vocal cords according to Lichtenberger is a safe and easy method that can be used as a first-stage treatment of vocal cord paralysis. Copyright
Authors: Tadeus Nawka; Christian Sittel; Markus Gugatschka; Christoph Arens; Ruth Lang-Roth; Claus Wittekindt; Rudolf Hagen; Andreas H Müller; Gerd F Volk; Orlando Guntinas-Lichius Journal: Laryngoscope Date: 2015-01-30 Impact factor: 3.325
Authors: Tadeus Nawka; Markus Gugatschka; Jan-Constantin Kölmel; Andreas Harald Müller; Berit Schneider-Stickler; Svetlana Yaremchuk; Maria Grosheva; Rudolf Hagen; Joachim T Maurer; Claus Pototschnig; Thomas Lehmann; Gerd Fabian Volk; Orlando Guntinas-Lichius Journal: PLoS One Date: 2019-04-29 Impact factor: 3.240