Combined Laser Posterior Cordotomy and Endoscopic Suture Latero-fixation for Treatment of Bilateral Vocal Fold Abductor Paralysis: A Randomized Controlled Trial

Q4 Medicine

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Pub Date : 2022-01-01 DOI:10.21608/ejentas.2022.121908.1474

Hisham N. Lasheen, M. Hammouda, M. Mosleh, Mustafa Aboutaleb, Mina Fahim

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Abstract

Background: Bilateral vocal fold paralysis (BVFP) is characterized by narrowing of the respiratory glottic chink which could present in the form of an acute airway insufficiency. The aim of this study is to evaluate the efficacy of combined laser posterior cordotomy and endoscopic suture latero-fixation on respiration and phonation. Patients and Methods: This study was a randomized controlled trial, conducted on forty patients, divided into 2 groups: Group (A) included 20 patients underwent combined laser posterior cordotomy and endoscopic suture latero-fixation, while group (B) involved 20 patients subjected to laser posterior cordotomy without latero-fixation for managing BVFP. Results: Group A showed a statistically significant shorter time interval of decannulation from tracheostomy tube after the procedure. ( P=0.032 ). No significant difference between both techniques regarding adequacy of respiratory chink, decannulation rate and voice handicap index scores. Conclusion: Combined laser posterior cordotomy and endoscopic suture latero-fixation is a safe, minimally invasive and effective technique for treatment of BVFP with comparable effect to conventional laser posterior cordotomy regarding respiration and phonation.

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激光后声带切开术联合内镜下缝合后固定治疗双侧声带外展肌麻痹:一项随机对照试验

背景:双侧声带麻痹(BVFP)的特点是呼吸声门缝隙狭窄，可表现为急性气道功能不全。本研究的目的是评估激光后路cordotomy联合内镜下缝合后固定对呼吸和发声的影响。患者和方法:本研究是一项随机对照试验，共40例患者，分为2组:a组20例，采用激光后cordotomy联合内镜下缝合后固定术治疗BVFP; B组20例，采用激光后cordotomy不加后固定术治疗BVFP。结果:A组患者术后气管造瘘管脱管时间间隔较短，差异有统计学意义。(p =0.032)。两种方法在呼吸间隙充分性、脱管率和语音障碍指数评分方面无显著差异。结论:激光后cordotomy联合内镜下缝合后固定是一种安全、微创、有效的治疗BVFP的技术，在呼吸和发声方面与常规激光后cordotomy效果相当。

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来源期刊

Egyptian Journal of Ear, Nose, Throat and Allied Sciences Medicine-Otorhinolaryngology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Egyptian Journal of Ear, Nose, Throat and Allied Sciences aspires to play a national, regional and international role in the promotion of responsible and effective research in the field of Otolaryngology, Head and Neck Surgery in Egypt, Middle East and Africa. Mission To encourage and support research in Ear, Nose and Throat (ENT) field and interdisciplinary topics To implement high-quality editorial practices among Otolaryngologists To upgrade the ability and experience of local doctors in international publishing To offer professional publishing support to local researchers, creating a supportive network for career development To highlight ENT diseases and problems peculiar to our region To promote research in endemic, hereditary and infectious ENT problems related to our region To expose and study impact of ethnic, social, environmental and cultural issues on expression of different ENT diseases To organize common epidemiologic research of value to the region To provide resource to national and regional authorities about problems in the field of ENT and their implication on public health and resources To facilitate exchange of knowledge in our part of the world To expand activities with regional and international scientific societies.