Initial Outcomes of Endoscopic CO2 Laser Posterior Cordectomy and Partial Arytenoidectomy Among Patients with Bilateral Vocal Cord Paralysis: A Case Series

Authors

  • Karen Joyce S. Velasco, MD Philippine General Hospital University of the Philippines Manila
  • Anna Pamela C. Dela Cruz, MD Philippine General Hospital University of the Philippines Manila
  • Ryner Jose D. Carrillo, MD, MSc Philippine General Hospital University of the Philippines Manila
  • Daryl Anne D. Madrid, MD Philippine General Hospital University of the Philippines Manila https://orcid.org/0000-0002-3937-9287

DOI:

https://doi.org/10.32412/pjohns.v37i2.2019

Keywords:

vocal cord paralysis, arytenoid, vocal cords, laser, carbon dioxide, tracheostomy, voice quality

Abstract

ABSTRACT
Objective: To describe the initial outcomes of endoscopic CO2 laser posterior cordectomy and partial arytenoidectomy among patients with bilateral vocal cord paralysis in our institution.

Methods:

Design: Case Series

Setting: Tertiary National University Hospital

Participants: 17 Patients

 

Results: Seventeen (17) patients who underwent transoral posterior cordectomy and partial arytenoidectomy using carbon dioxide laser were included in the study consisting of 14 females and 3 males. Iatrogenic injury was the most common cause of bilateral vocal cord paralysis in this subset of patients. Five patients who tolerated decannulation and another six who had no preoperative tracheostomy all reported subjective improvement in breathing. All of them were also observed to have resolution of stridor and increased respiratory comfort compared to their preoperative condition. The most common postoperative complication was granuloma formation at the medial arytenoidectomy site occurring only in 4 patients. None of the patients complained of aspiration episodes or dysphagia during the postoperative period.

Conclusion: Our initial experience with transoral endoscopic posterior cordectomy and partial arytenoidectomy using carbon dioxide laser has good postoperative outcomes among patients with bilateral vocal cord paralysis.

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Published

2022-11-15

How to Cite

1.
Velasco KJ, Dela Cruz AP, Carrillo RJ, Madrid DA. Initial Outcomes of Endoscopic CO2 Laser Posterior Cordectomy and Partial Arytenoidectomy Among Patients with Bilateral Vocal Cord Paralysis: A Case Series. Philipp J Otolaryngol Head Neck Surg [Internet]. 2022 Nov. 15 [cited 2024 Nov. 21];37(2):30. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/2019

Issue

Vol. 37 No. 2 (2022): Philippine Journal of Otolaryngology Head and Neck Surgery

Section

Original Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Copyright transfer (all authors; where the work is not protected by a copyright act e.g. US federal employment at the time of manuscript preparation, and there is no copyright of which ownership can be transferred, a separate statement is hereby submitted by each concerned author). In consideration of the action taken by the Philippine Journal of Otolaryngology Head and Neck Surgery in reviewing and editing this manuscript, I hereby assign, transfer and convey all rights, title and interest in the work, including copyright ownership, to the Philippine Society of Otolaryngology Head and Neck Surgery, Inc. (PSOHNS) in the event that this work is published by the PSOHNS. In making this assignment of ownership, I understand that all accepted manuscripts become the permanent property of the PSOHNS and may not be published elsewhere without written permission from the PSOHNS unless shared under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.

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