Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2021, Vol. 35 ›› Issue (2): 39-45.doi: 10.6040/j.issn.1673-3770.1.2020.098

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Plasma radiofrequency assisted bilateral posterior partial transverse cordotomy in the treatment of 13 patients with upper airway obstruction caused by bilateral vocal cord paralysis

ZHAO Jing, LI Jinrang, GUO Hongguang   

  1. Department of Otorhinolaryngology, The Sixth Medical center of Chinese PLA General Hospital / College of Otorhinolaryngology &Head and Neck Surgery, Chinese PLA General Hospital / National Clinical Research Center for Otolaryngologic Diseases, Beijing 100048, China
  • Published:2022-11-07

Abstract: Objective To evaluate the efficacy of the endoscopic plasma radiofrequency assisted bilateral posterior partial transverse cordotomy in patients with upper airway obstruction due to bilateral vocal cord paralysis. Methods Clinical data of 13 patients with upper airway obstruction caused by bilateral vocal cord paralysis was retrospectively analyzed, including 6 males and 7 females, aged 27-73 years. All patients underwent endoscopic plasma radiofrequency assisted bilateral posterior partial transverse cordotomy, to summarize and evaluate clinical effect of this operation. Results The follow-up period was from 1 year 1 month to 2 years 11 months, and no serious complications occurred in all the patients. A one-step successful decannulation was achieved in 84.44%(10/13), a two-step successful decannulation was achieved in 88.89%(11/13). Decannulation time was1-3 months, and the median decannulation time was 1 month.There was no recurrence of upper airway obstruction. Conclusion Endoscopic bilateral posterior partial transverse cordotomy can establish a reliable and effective airway and maximize the retention of swallowing and voice functions. At the same time, it is a safe, reliable, simple and minimally invasive treatment option.

Key words: Bilateral vocal cord paralysis, Bilateral posterior partial transverse cordotomy, Plasma radiofrequency, Decannulation rate

CLC Number: 

  • R767.4
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