Clin Surg | Volume 2, Issue 1 | Case Report | Open Access

A Combined Endolaryngeal Approach for Bilateral Vocal Fold Immobility: Microlaryngoscopic Submucosal Cordotomy and Endo-Extralaryngeal Triple-Suture Lateralization

Murat Cem Miman*

Department of Otorhinolaryngology, ─░zmir University School of Medicine, Turkey

*Correspondance to: Murat Cem Miman 

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Abstract

Bilateral vocal fold immobility (BVFI) is a challenging clinical entity for laryngologists. The voice may be nearly normal but mostly there is a severe inspiratory deficiency. The patients may need surgical interventions primarily for life threatening dyspnea. While treating the dyspnea, dysphonia appears to be a problem to a certain extent. Providing a serviceable voice and prevention from further surgery for relapsing dyspnea, a balance is needed. Various techniques have been introduced for surgical management of BVFI. A modified approach in order to balance between dyspnea and dysphonia was performed on a BVFI patient and is presented in this report.

Keywords:

Bilateral vocal fold immobility; Posterior Cordotomy; Laterofixation; Inspiratory stridor

Citation:

Miman MC. A Combined Endolaryngeal Approach for Bilateral Vocal Fold Immobility: Microlaryngoscopic Submucosal Cordotomy and Endo-Extralaryngeal Triple-Suture Lateralization. Clin Surg. 2017; 2: 1471.

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