A Combined Endolaryngeal Approach for Bilateral Vocal Fold Immobility: Microlaryngoscopic Submucosal Cordotomy and Endo-Extralaryngeal Triple-Suture Lateralization

Murat Cem Miman

Department of Otorhinolaryngology, İzmir University School of Medicine, Turkey

^*Correspondance to: Murat Cem Miman 

 PDF  Full Text DOI: 10.25107/2474-1647.1471

Abstract

Bilateral vocal fold immobility (BVFI) is a challenging clinical entity for laryngologists. The voice may be nearly normal but mostly there is a severe inspiratory deficiency. The patients may need surgical interventions primarily for life threatening dyspnea. While treating the dyspnea, dysphonia appears to be a problem to a certain extent. Providing a serviceable voice and prevention from further surgery for relapsing dyspnea, a balance is needed. Various techniques have been introduced for surgical management of BVFI. A modified approach in order to balance between dyspnea and dysphonia was performed on a BVFI patient and is presented in this report.

Keywords

Bilateral vocal fold immobility; Posterior Cordotomy; Laterofixation; Inspiratory stridor

Cite the article

Miman MC. A Combined Endolaryngeal Approach for Bilateral Vocal Fold Immobility: Microlaryngoscopic Submucosal Cordotomy and Endo-Extralaryngeal Triple-Suture Lateralization. Clin Surg. 2017; 2: 1471.