Minimizing revision rates with the “Π” technique for bilateral vocal fold immobility: A new technique combining carbon dioxide and diode laser

Head & Neck ◽  
2015 ◽  
Vol 38 (5) ◽  
pp. 801-803 ◽  
Author(s):  
Petros D. Karkos ◽  
Marios Stavrakas
2005 ◽  
Vol 114 (2) ◽  
pp. 115-121 ◽  
Author(s):  
Isabelle Plouin-Gaudon ◽  
Jacques Jamart ◽  
Georges Lawson ◽  
Marc Remacle

Sixty-nine patients underwent subtotal carbon dioxide laser arytenoidectomy for treatment of bilateral vocal fold immobility between 1985 and 2000. The population included 69 patients whose mean age was 56 years (SD, 16 years; range, 11 to 82 years). The mean follow-up was 50 months (SD, 44 months; range, 1 to 181 months). The overall postoperative peak expiratory/peak inspiratory flow ratio (normal value, 1) significantly improved (closer to 1; p = .0036). Voice analyses were also undertaken for 27 patients, almost exclusively after operation, given the context of initial emergency. The maximum phonation time averaged 6.57 seconds (median, 6 seconds). The phonation quotient remained high, with a mean of 503 (median, 440), and the mean conversational voice intensity remained around 59 dB. The median frequency analysis type was 3. The advantage of subtotal arytenoidectomy lies in the fact that it maintains a certain degree of rigidity along the posterior limit of the arytenoid frame, preventing inward collapse of the mucosa and thus lowering the risk of aspiration.


2020 ◽  
Vol 100 (1_suppl) ◽  
pp. 83S-86S
Author(s):  
Petros D. Karkos ◽  
Marios Stavrakas ◽  
Ioannis Koskinas ◽  
Konstantinos Markou ◽  
Stefanos Triaridis ◽  
...  

Background: To demonstrate the efficacy of a new laser surgical technique for bilateral vocal fold immobility (BVFI) on postoperative quality of voice and swallowing. Methods: Prospective study in a tertiary university hospital and a private hospital. Patients with iatrogenic BVFI were included. Outcome measures were Voice Handicap Index 10, 10-item Eating Assessment Tool, flexible laryngoscopy, and success of decannulation. Results: Forty patients with post thyroidectomy BVFI were initially enrolled in our study; only 12 patients returned questionnaires and kept their follow-ups and were included in the study. All patients were successfully decannulated and remain decannulated up to 24-month follow-up. There was a statistically significant improvement in quality of swallowing and no significant deterioration in quality of voice. There was no need for revision up to 24-month follow up. Conclusions: The “Π” technique using diode laser technology is a new and safe technique for BVFI with excellent long-term decannulation rates and improvement in quality of life and swallowing without significant changes in voice quality.


2020 ◽  
Vol 47 (5) ◽  
pp. 842-848
Author(s):  
Mohd Eksan Sairin ◽  
Marina Mat Baki ◽  
Roslina Abdul Manap ◽  
Sharifa Ezat Wan Puteh ◽  
Mawaddah Azman ◽  
...  

Head & Neck ◽  
2012 ◽  
Vol 34 (12) ◽  
pp. 1753-1758 ◽  
Author(s):  
Ramil K. Yagudin ◽  
Valentin R. Demenkov ◽  
Kamil F. Yagudin

2018 ◽  
Vol 108 ◽  
pp. 120-124 ◽  
Author(s):  
Glenda Lois Montague ◽  
Randall A. Bly ◽  
Garani S. Nadaraja ◽  
David E. Conrad ◽  
Sanjay R. Parikh ◽  
...  

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