Document Detail


Surgical management of Gerhardt syndrome.
MedLine Citation:
PMID:  20726297     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Adduction bilateral vocal fold immobility syndrome may be due by both recurrent laryngeal nerves paralysis--Gerhardt syndrome--and all intrinsic laryngeal muscles paralysis--Riegel syndrome. Etiology of Gerhardt syndrome is thyroid surgery, intubation's maneuver, trauma, neurological disorders, extrala-ryngeal malignancies. The manifestations of Gerhardt syndrome are inspiratory dyspnea and slightly influenced voicing by paramedian vocal folds paralysis with an important narrowing of the airway at the glottic level. The surgical procedures for enlargement of the glottic space can be classified in many ways and their major characteristics are: changes at the glottic level; surgical approach: open neck or endoscopic, with or without opening of the mucosal lining; the need for tracheostomy; the equipment used. The aim of this review is to expound the variety of interventions through the last century marked by the development of the diagnostic methods, the anesthesia and the surgical armament with sophisticated instruments and technologies.
Authors:
M Chirilă; R Mureşan; M Cosgarea; E Tomescu
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Chirurgia (Bucharest, Romania : 1990)     Volume:  105     ISSN:  1221-9118     ISO Abbreviation:  Chirurgia (Bucur)     Publication Date:    2010 May-Jun
Date Detail:
Created Date:  2010-08-23     Completed Date:  2010-09-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9213031     Medline TA:  Chirurgia (Bucur)     Country:  Romania    
Other Details:
Languages:  eng     Pagination:  327-30     Citation Subset:  IM    
Affiliation:
ENT Department, University of Medicine and Pharmacy "Iuliu Haţieganu" Cluj-Napoca. chirila_magda@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Asphyxia / etiology,  surgery
Humans
Otorhinolaryngologic Surgical Procedures / methods
Recurrent Laryngeal Nerve / injuries,  surgery*
Respiratory Insufficiency / etiology,  surgery
Respiratory Sounds
Syndrome
Tracheostomy / instrumentation,  methods*
Treatment Outcome
Vocal Cord Paralysis / etiology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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