CO2 surgical laser in the management of bilateral vocal cord paralysis.

Six patients with bilateral vocal cord paralysis who had worn tracheostomy tubes for varying periods of time were treated by CO2 surgical laser. Excision of the vocal process of the arytenoid was done on one side, with ipsilateral cordectomy involving the vocal fold and the vocal ligament. All these patients have been successfully decannulated. The scientific basis of this procedure, and its simplicity and effectiveness without complications, are the main assets of this technique. It is hoped that, by adopting this method of treatment, the management of patients tracheotomized for bilateral vocal cord paralysis will not remain a problem.