Brazilian journal of otorhinolaryngology · 2025
Arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis: A 15-year experience.
СтатьяНазвание и аннотация: Перевод в очереди
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Oliveira Bernardo Scarioli, Vieira Mauro Becker Martins, Cardoso Flávia Amarante, Lopes Lívia Bernardi, Avila Marianna Novaes da Costa, Farias Kênia Rabelo Santana de
Аннотация
OBJECTIVE: To evaluate our experience with the technique, functional results, and potential complications.
METHODS: A retrospective study was conducted with a sample of 29 patients submitted to this surgical procedure between 2000 and 2015. All procedures were performed under local anesthesia with sedation, and without intercurrences. Hospitalization time was 24 h on average.
RESULTS: None of the patients presented respiratory distress that required tracheostomy. Regarding vocal quality, the results were considered satisfactory or optimal, with high degree of patient satisfaction. With respect to dysphagia, all patients who needed enteral nutrition resumed exclusive peroral diet.
CONCLUSION: Arytenopexy with medialization thyroplasty and cricothyropexy are procedures with low degree of complication that can be performed under local anesthesia with excellent functional results, even in patients with marked posterior glottic gap.
LEVEL OF EVIDENCE: Level IV.
METHODS: A retrospective study was conducted with a sample of 29 patients submitted to this surgical procedure between 2000 and 2015. All procedures were performed under local anesthesia with sedation, and without intercurrences. Hospitalization time was 24 h on average.
RESULTS: None of the patients presented respiratory distress that required tracheostomy. Regarding vocal quality, the results were considered satisfactory or optimal, with high degree of patient satisfaction. With respect to dysphagia, all patients who needed enteral nutrition resumed exclusive peroral diet.
CONCLUSION: Arytenopexy with medialization thyroplasty and cricothyropexy are procedures with low degree of complication that can be performed under local anesthesia with excellent functional results, even in patients with marked posterior glottic gap.
LEVEL OF EVIDENCE: Level IV.