Arytenoidektomia podśluzówkowa z laterofiksacją jako leczenie z wyboru w obustronnym porażeniu fałdów głosowych spowodowanym guzem płuca
Journal Title: Otolaryngologia Polska - Year 2007, Vol 61, Issue 1
Abstract
Introduction: Submucosal arytenoidectomy is one of many surgical techniques used in the treatment of the median bilateral vocal fold paralysis. The technique evolved from the large extralaryngeal operation to the endoscopic, intralaryngeal procedure. Gradually it excluded tracheostomy from the methods of treatment of dyspnoea caused by bilateral vocal fold paralysis. Materials and methods: We present two patients with bilateral vocal fold paralysis with dyspnoea, caused by the neoplastic mass primarily localised in the left lung. In both cases the nonmicrocellular carcinoma was diagnosed. Both patients had the left recurrent laryngeal nerve palsy for more than 18 months and the right nerve palsy for 10–14 days before admission, with concomitant dyspnoea. Results: Both patients were successfully extubated, 24 hours after the operation. The breathing improved significantly. None of the patients had to be reintubated or tracheotomized. Conclusions: The Authors conclude, that the arytenoidectomy with laterofixation should be the method of choice in the treatment of the bilateral vocal fold paralysis caused by the lung cancer. The method does not exclude the upper airway from the respiratory tract which is of special importance for the patients with the lung problems.
Authors and Affiliations
Wojciech Kukwa , Jan Ratajczak, Andrzej Kukwa, Anna Ścińska-Bieńkowska, Małgorzata Piaskowska
Keywords
Related Articles
- EP ID EP51332
- DOI -
- Views 92
- Downloads 0
Brodawczaki górnych dróg oddechowych – nowe metody leczenia
Background: Respiratory papillomatosis is caused by HPV. The most common location in head and neck is larynx, palatine tonsils and arches of palate, uvula and mucosa oral and nasal cavity. The disease is benign but recur...
Recurrence of cancer of the paranasal sinuses after primary treatment – analysis of conditions and results of salvage treatment
The aim of this study: is to demonstrate epidemiological and clinical parameters of the group of patients with sinonasal malignancies and to analyze its impact on development of recurrences after primary surgical treatme...
Pharyngeal constrictor muscles closure after total laryngectomy is that really benefi cial?
High pressure of pharyngo-esophageal segment is the most important factor of impaired development of alaryngeal speech (esophageal speech, tracheoesophageal speech) after total laryngectomy. To prevent pharyngo-esophagea...
Results of rehabilitation of voice and speeches after implantation of valve vocal prosthesis at ill after total removal of larynx
Ill applying with extensive infi ltration of new-growth within of larynx will demand radical therapeutic procedure, which is operation completely removals of organ. Aim of work was estimation of voice and speeches ill wi...
Rola Europejskiej Unii Lekarzy Specjalistów (UEMS) w unifikacji szkolenia lekarzy i doskonaleniu opieki medycznej Sprawozdanie z dorocznego zebrania Sekcji Otorynolaryngologii Chirurgii Głowy i Szyi, Europejskiej Unii Lekarzy Specjalistów (Union Européenne des Médecins Spécialistes – EUMS)