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Journal of Otorhinolaryngology and Facial Plastic Surgery

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  3. Vol. 5 No. 3 (2019): Summer
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Vol. 5 No. 3 (2019)

March 2020

Endoscopic Arytenoid Abduction Lateropexy with Endolaryngeal Thread Guide Instrument for Bilateral Vocal Fold Paralysis

  • Shahram Madani
  • Ádam Bach
  • Gholam Hossein Alim Marvasti
  • László Rovó

Journal of Otorhinolaryngology and Facial Plastic Surgery, Vol. 5 No. 3 (2019), 23 March 2020 , Page 1-5
https://doi.org/10.22037/orlfps.v5i3.29834 Published: 2020-04-01

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Abstract

The treatment of upper airway stenosis is considered to be one of the most difficult fields in laryngology. In the 100-year-old history of airway stenosis surgery several important works of Hungarian authors (Rethi, Lichtenberger, Pytel) are found.

At the Department of Oto-Rhino- Laryngology and Head- Neck Surgery, University of Szeged our workgroup has been working on the treatment of upper airway stenosis for more than 30 years.

Hereby we introduce our surgical concept for bilateral vocal fold paralysis, the minimally invasive endoscopic arytenoid abduction lateropexy (EAAL), which provides an immediate adequate airway with acceptable voice quality, and good swallow function.

A new Endolaryngeal Thread Guide instrument (ETGI) is also presented here, which is essential for a safe, accurate, and fast suture loop creation around the arytenoid cartilage for this surgical procedure.

Keywords:
  • Bilateral vocal fold paralysis
  • Endoscopic arytenoid abduction lateropexy
  • Endolaryngeal thread guide instrument
  • Minimally invasive surgery.
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How to Cite

Madani, S., Bach, Ádam, Alim Marvasti, G. H., & Rovó, L. (2020). Endoscopic Arytenoid Abduction Lateropexy with Endolaryngeal Thread Guide Instrument for Bilateral Vocal Fold Paralysis. Journal of Otorhinolaryngology and Facial Plastic Surgery, 5(3), 1–5. https://doi.org/10.22037/orlfps.v5i3.29834
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References

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Sapundzhiev N, Lichtenberger G, Eckel HE, et al. Surgery of adult bilateral vocal fold paralysis in adduction: history and trends. Eur Arch Otorhinolaryngol.2008;265:1501–14.

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Isolated Recovery of Adductor Muscle Function Following Bilateral Recurrent Laryngeal Nerve Injuries. Bach Á, Sztanó B, Matievics V, Bere Z, Fabian V, Andreas M, Förster G, Castellanos PF, Rovó L.Laryngoscope. 2019;129(10):2334-40.

Sztanó B, Szakács L, Madani S, Tóth F, Bere Z, Castellanos PF, Rovó L.Comparison of endoscopic techniques designed for posterior glottic stenosis—a cadavermorphometric study. Laryngoscope. 2014;124(3):705-10.

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Functional outcomes of endoscopic arytenoid abduction lateropexy for unilateral vocal cord paralysis with dyspnea. Matievics V, Bach A, Sztano B, Bere Z, Tobias Z, Castellanos PF, Mueller AH, Rovo L. Eur Arch Otorhinolaryngol. 2017;274(10):3703-10.

A new solution for neonatal bilateral vocal cord paralysis: Endoscopic arytenoid abduction lateropexy. Madani S, Bach Á, Matievics V, Erdélyi E, Sztanó B, Szegesdi I, Castellanos PF, Rovó L. Laryngoscope. Laryngoscope. 2017;127(7):1608-14.

Endoscopic arytenoid abduction lateropexy for the treatment of neonatal bilateral vocal cord paralysis - Long-term results. Sztanó B, Bach Á, Matievics V, Erdélyi E, Szegesdi I, Wootten CT, Rovó L. Int J Pediatr Otorhinolaryngol. 2019;119:147-50.

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Rotational thyrotracheopexy after cricoidectomy for low-grade laryngeal chrondrosarcoma. Rovó L, Bach Á, Sztanó B, Matievics V, Szegesdi I, Castellanos PF.Laryngoscope. 2017;127(5):1109-15.

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The journal of "Otorhinolaryngology and Facial Plastic Surgery" is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Print ISSN: 2538-5224; Online ISSN: 2538-5216

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