Surgical Techniques for Glottal Airway Enlargement -Laterofixation of the Vocal Fold-
نویسندگان
چکیده
Glottal airway enlargement is required to manage dyspnea due bilateral vocal fold paralysis (BVFP). The method of laterofixation reported by Ejnell et al. relativly non-invasive and has been considered the first choice in cases BVFP recent years. We used a video-laryngoscope obtain better endolaryngeal view GORE-TEX® Soft Tissue Patch as spacer between thyroid lamina nylon knot prevent loosening. Laryngeal pacing more dynamic physiologic treatment approach than static procedures, such fold. application functional electrical stimulation (FES) laryngeal abductor muscles. evaluated efficacy FES restoring glottal opening, ventilation, exercise tolerance canine model. An implantable stimulator deep brain electrodes were surgically implanted into both posterior cricoarytenoid (PCA) muscles animal, recurrent nerves sectioned repaired. Beyond three months postoperatively, there was passive narrowing further closure glottis during hypercapnia. animal showed severe stridor could only walk for one two minutes on treadmill. With stimulation-on condition, area increased considerably, equaling that normally innervated animal. Exercise also returned normal. Bilateral PCA offers restore ventilation normal level BVFP.
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ژورنال
عنوان ژورنال: Ko?to?
سال: 2022
ISSN: ['0915-6127', '2185-4696']
DOI: https://doi.org/10.5426/larynx.34.121