Lasheen, H., Hammouda, M., Mosleh, M., Aboutaleb, M., Fahim, M. (2022). Combined Laser Posterior Cordotomy and Endoscopic Suture Latero-fixation for Treatment of Bilateral Vocal Fold Abductor Paralysis: A Randomized Controlled Trial. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 23(23), 1-9. doi: 10.21608/ejentas.2022.121908.1474
Hisham Nabil Lasheen; Mostafa Mohamed Hammouda; Mohamed Mosleh; Mustafa Mahmoud Aboutaleb; Mina Safwat Fahim. "Combined Laser Posterior Cordotomy and Endoscopic Suture Latero-fixation for Treatment of Bilateral Vocal Fold Abductor Paralysis: A Randomized Controlled Trial". Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 23, 23, 2022, 1-9. doi: 10.21608/ejentas.2022.121908.1474
Lasheen, H., Hammouda, M., Mosleh, M., Aboutaleb, M., Fahim, M. (2022). 'Combined Laser Posterior Cordotomy and Endoscopic Suture Latero-fixation for Treatment of Bilateral Vocal Fold Abductor Paralysis: A Randomized Controlled Trial', Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 23(23), pp. 1-9. doi: 10.21608/ejentas.2022.121908.1474
Lasheen, H., Hammouda, M., Mosleh, M., Aboutaleb, M., Fahim, M. Combined Laser Posterior Cordotomy and Endoscopic Suture Latero-fixation for Treatment of Bilateral Vocal Fold Abductor Paralysis: A Randomized Controlled Trial. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 2022; 23(23): 1-9. doi: 10.21608/ejentas.2022.121908.1474
Combined Laser Posterior Cordotomy and Endoscopic Suture Latero-fixation for Treatment of Bilateral Vocal Fold Abductor Paralysis: A Randomized Controlled Trial
1Otolaryngology department, Faculty of medicine,Cairo University, Cairo, Egypt
2Otorhinolaryngology department, Faculty of medicine, Cairo University, Cairo, Egypt
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 the treatment of BVFP with comparable effect to conventional laser posterior cordotomy regarding respiration and phonation.
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