Document Detail

A functional approach to lateral fixation in bilateral abductor cord paralysis.
MedLine Citation:
PMID:  2501727     Owner:  NLM     Status:  MEDLINE    
A modification of the Clerf arytenoidopexy treatment for bilateral vocal cord paralysis is described; it consists of an external approach with complete unilateral division of the posterior cricoarytenoid and interarytenoid muscles. The entire arytenoid is next mobilized and tilted laterally, then fixed into position along the posterior margin of the thyroid cartilage by two or three permanent retention sutures. Careful placement of these sutures renders the laryngeal mucosa maximally undisturbed and is largely responsible for the predictable results achieved with this technique. During the past 2 years, 18 patients received this static procedure, and 17 of 18 (94%) required a tracheotomy as part of the treatment because of a uniformly severe degree of glottic obstruction. All tracheotomy patients have been permanently decannulated (on an average) 14 days after surgery. The evaluation of each patient included pre- and post-operative measurements of airway resistance that correlated well with the width of the posterior commissure, and proved invaluable in successful decannulation efforts.
R G Amedee; W J Mann
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  100     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  1989 Jun 
Date Detail:
Created Date:  1989-08-15     Completed Date:  1989-08-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  542-5     Citation Subset:  IM    
Department of Otolaryngology, University of Freiburg, West Germany.
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MeSH Terms
Arytenoid Cartilage / surgery*
Laryngeal Cartilages / surgery*
Laryngeal Muscles / surgery*
Middle Aged
Muscles / surgery*
Vocal Cord Paralysis / surgery*

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

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