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Glottic configuration changes and outcomes of endoscopic arytenoid abduction lateropexy

  • Laryngology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

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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Authors and Affiliations

  1. Department of Otorhinolaryngology-Head and Neck Surgery, University of Szeged, 111. Tisza L. krt, Szeged, 6725, Hungary

    László Szakács, Balázs Sztanó, Vera Matievics, Zsófia Bere & László Rovó

  2. Department of Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, AL, USA

    Paul F. Castellanos

Authors
  1. László Szakács
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  2. Balázs Sztanó
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  3. Vera Matievics
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  4. Zsófia Bere
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  5. Paul F. Castellanos
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  6. László Rovó
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Correspondence to Balázs Sztanó.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Szakács, L., Sztanó, B., Matievics, V. et al. Glottic configuration changes and outcomes of endoscopic arytenoid abduction lateropexy. Eur Arch Otorhinolaryngol 276, 167–173 (2019). https://doi.org/10.1007/s00405-018-5215-x

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  • DOI: https://doi.org/10.1007/s00405-018-5215-x

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