JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY) ›› 2015, Vol. 29 ›› Issue (3): 59-61.doi: 10.6040/j.issn.1673-3770.0.2015.174

Previous Articles     Next Articles

Coblation unilateral vocal cord transection with arytenoidenctomy in the treatment of bilateral vocal cord paralysis

HAN Naigang, LI Xiaohong   

  1. Department of Otolaryngology & Head and Neck Surgery, First Hospital of Zibo City, Zibo 255200, Shandong, China
  • Received:2015-04-22 Revised:2015-05-20 Published:2015-06-16

PDF (PC)

563

Abstract: Objective To evaluate the clinical efficacy of endoscopic coblation unilateral vocal cord transection with arytenoidectomy for the treatment of bilateral vocal cord paralysis. Methods A total of 19 patients with bilateral vocal cord paralysis received unilateral vocal cord transection and arytenoidectomy using coblation under video suspension laryngoscope. During the follow-up of 6 to 42 months, the curative effects were analyzed. Results Decannulation was performed in 18 cases 1 month postoperatively, 8 of which had undergone tracheotomy before operation. Decannulation failed in 1 case due to dyspnea caused by scar diathesis, and then succeeded after the contralateral arytenoid was removed. Of all 19 cases, 14 achieved satisfactory vocal effects, 4 had acceptable vocal effects, and 1 case had worse trachyphonia. Conclusion Safe and minimally invasive, endoscopic coblation assisted vocal cord transection and arytenoidectomy is an effective treatment for bilateral abductor paralysis. It has a high decannulated rate while the voice quality remains satisfying.

Key words: Arytenoidectomy, Coblation, Vocal fold paralysis

CLC Number: 

  • R767.4
[1] Bizakis J G, Papadakis C E, Karatzanis A D, et al. The combined endoscopic CO2 laser posterior cordectamy and total aryteaoidectomy for treatment of bilateral vocal cord paralysis[J]. Clin Ototmvngol Allied Sci, 2004, 29(1):51-54.
[2] 章薇, 屈季宁, 崔前波.病态嗓音主观评价与声学分析的相关性研究[J]. 听力学及言语疾病杂志, 2012, 20:544-546. ZHANG Wei, QU Jining, CUI Qianbo. A study of the correlation between pathological voice subjective evaluation and acoustic analysis[J]. J Audiol Speech Pathol, 2012, 20:544-546.
[3] 袁辉. 喉返神经麻痹的新概念与治疗进展[J]. 国外医学耳鼻咽喉科学分册, 2002, 26(5):273-279. YUAN Hui. The new concept of the laryngeal recurrent nerve paralysis, and treatment progress[J]. Foreign Med Arch Otolaryngol Sci, 2002, 26(5):273-279.
[4] 郭敏, 郑中立. 双侧声带麻痹的外科治疗[J]. 中华耳鼻咽喉科杂志, 1995, 30(3): 140-142. GUO Min, ZHENG Zhongli. Surgical treatment of bilateral vocal cord paralysis[J]. Chin J Otorhinolarynol, 1995, 30(3):140-142.
[5] 陈世彩, 郑宏良, 周水淼, 等. 双侧喉返神经损伤神经修复治疗术式探讨[J]. 听力学及言语疾病杂志, 2006, 14(4): 249-253. CHEN Shicai, ZHENG Hongliang, ZHOU Shuimiao, et al. Bilateral laryngeal recurrent nerve injury nerve repair treatment operation[J]. J Audiol Speech Pathol, 2006, 14(4): 249-253.
[6] Havas T E, Priestley K J. Laser tenotomy and vocal process resection for bilateral midline vocal fold fixation[J]. ANZ J Surg, 2003, 73(5):326-330.
[7] 杨怀安, 季文樾, 郭星, 等. 双声带中线位固定喉狭窄激光手术治疗成败原因探讨[J]. 临床耳鼻喉科杂志, 2006, 20(18):852-853 YANG Huaian, JI Wenyue, GUO Xing, et al. Bilingual middle line a fixed laryngostenosis laser surgery success or failure reasons[J]. J Clin Otolaryngol, 2006, 20(18):852-853.
[8] 黄冬雁, 王荣光, 杨仕明. 单侧杓状软骨加声带后部低温等离子射频消融术治疗双侧声带麻痹疗效分析[J]. 听力学及言语疾病杂志, 2014, 22(2):127-130. HUANG Dongyan, WANG Rongguang, YANG Shiming. Unilateral arytenoid cartilage and vocal cord at the back of the low temperature plasma radiofrequency ablation in the treatment of bilateral vocal cord paralysis curative effect analysis[J]. J Audiol Speech Pathol, 2014, 22(2):127-130.
[9] 张庆丰, 佘翠萍, 金屹峰, 等. 鼻内镜下低温等离子射频切除术治疗鼻咽血管纤维瘤的初步观察[J]. 中华耳鼻喉科杂志, 2010, 45(7):578-581. ZHANG Qingfeng, SHE Cuiping, JIN Yifeng, et al. Low-temperature plasma radiofrequency endoscopic resection of preliminary observation for the treatment of nasopharyngeal angiofibroma[J]. Chin J Otorhinolarynol, 2010, 45(7):578-581.
[10] 何本超, 徐必生, 颜风波, 等. 低温等离子射频消融术治疗早期声带癌[J]. 中国医师进修杂志, 2010, 33(33):70-71. HE Benchao, XU Bisheng, YAN Fengbo, et al. Low temperature plasma radiofrequency ablation treatment of early vocal cord carcinoma[J]. Chin J Physici Edu, 2010, 33(33):70-71.
[1] QIU Shuyao, LIU Dabo, ZHONG Jianwen, YANG Liqiang. Analysis of coblation complications in children with obstructive sleep apnea-hypopnea syndrome [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(2): 34-37.
[2] HUO Hong, LI Wuyi, WANG Jian, YANG Dahai, JIN Xiaofeng, TIAN Xu, NIU Yanyan.. Treatment of pharyngeal stenosis following uvulopalatopharyngoplasty with coblation. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2017, 31(6): 58-61.
[3] ZHANG Liqing, SONG Shenghua, WANG Yuan, LIU Xiaojing, DONG Weida, ZHOU Han. Comparison of the efficacy of coblation, ultrasonic knife operation, and conventional tonsillectomy in a 2-year postoperative follow-up. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 67-71.
[4] ZHANG Jie, CHEN Xuemei, XU Anting. A comparative analysis of harmonic scalpel tonsillectomy and coblation tonsillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 95-100.
[5] . Coblation for benign hyperplasia of the tongue base. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(2): 83-84.
[6] ZHANG Liqing, YANG Cuifang, ZHOU Huaqun, LU Meiping, DONG Weida. Comparison of coblation, ultrasonic knife and conventional approach in tonsillectomy. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(3): 56-60.
[7] LÜ Zhenghua. Decompression of recurrent nerve. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(2): 17-19.
[8] ZHOU Jing-chun, KE Zhao-yang, MA Ling-guo, ZHANG Jing-jing, ZHANG Wei, FENG Chun-ying. Coblation and routine excision to treat epiglottic cysts [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 43-46.
[9] XU Wen-ya, LIU Ting-ting, JIANG Xiao-dan, DANG Zhi-hong, LOU Shuai-shuai, ZHANG Nian-kai. Comparison of curative effect between coblation inferior turbinate reduction and inferior turbinoplasty in treatment of chronic rhinitis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(1): 27-30.
[10] HOU Jin, WANG Bo-tao, YAN Jing, REN Xiao-yong, KANG Quan-qing, XU Min. Hemorrhage following coblation-assisted tonsillectomy and adenoidectomy in children [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(2): 52-55.
[11] ZHANG Qing-feng, LIU De-long, SHE Cui-ping. Coblation for laryngeal papilloma in 21 adults [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2012, 26(5): 64-65.
[12] ZHU Jiangcai, JIN Bin, LIN Xiao, ZHANG Jia, LI Keyong, SUN Yajing, DONG Pin. Electrocoagulation tonsillectomy (a report of 180 cases) [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(2): 57-.
[13] PENG Feng, MO Songping, FU Shinan, YANG Liming. Two kinds of surgical treatments for bilateral vocal cord paralysis [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(2): 55-56.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd