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European Archives of Oto-Rhino-Laryngology

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01-01-2019 | Laryngology

Glottic configuration changes and outcomes of endoscopic arytenoid abduction lateropexy

Authors: László Szakács, Balázs Sztanó, Vera Matievics, Zsófia Bere, Paul F. Castellanos, László Rovó

Published in: European Archives of Oto-Rhino-Laryngology | Issue 1/2019

Abstract

Introduction

Endoscopic arytenoid abduction lateropexy (EAAL) is an effective glottis enlarging procedure for the treatment of bilateral vocal cord palsy (BVCP). The postoperative glottic configuration changes can be evaluated by modern, high-resolution, 3D image reconstructions. Functional results are described by spirometry as well as objective and subjective phoniatric tests.

Methods

Unilateral EAAL was performed in ten malignant thyroid gland tumor patients (eight women, two men), who had BVCP after thyroid surgery. Slicer 3D^® software was used for morphometric analysis. Pre- and postoperative peak inspiratory flow (PIF) and standard phoniatric parameters were compared.

Results

The glottic gap improved significantly (+ 60%). Significant improvement of PIF was found in all cases. Phoniatric tests revealed better quality of voice and patient satisfaction. Their voices changed from a severely impaired to a socially acceptable, almost normal, quality.

Conclusion

The results support our clinical observations that the ideal position of the lateralization sutures is the one which provides a physiological abduction position of the arytenoid cartilage. Considering these good results, the surgical indications for minimally invasive endoscopic arytenoid lateropexy may be extended.

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Title: Glottic configuration changes and outcomes of endoscopic arytenoid abduction lateropexy
Authors: László Szakács
Balázs Sztanó
Vera Matievics
Zsófia Bere
Paul F. Castellanos
László Rovó
Publication date: 01-01-2019
Publisher: Springer Berlin Heidelberg
Published in: European Archives of Oto-Rhino-Laryngology / Issue 1/2019
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-018-5215-x

At a glance: The STEP trials

Springer Medicine

Glottic configuration changes and outcomes of endoscopic arytenoid abduction lateropexy

Abstract

Introduction

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusion

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