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. 2024 Oct;38(10):912-916;922.
doi: 10.13201/j.issn.2096-7993.2024.10.006.

[Study on the efficacy of posterior cordotomy with partial arytenoidectomy in bilateral vocal fold paralysis]

[Article in Chinese]
Wei Mo  1 , Liu Song  1 , Lingyu Yu  1 , Xingtao Jing  1 , Hui Yang  1
Affiliations

[Study on the efficacy of posterior cordotomy with partial arytenoidectomy in bilateral vocal fold paralysis]

[Article in Chinese]
Wei Mo et al. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2024 Oct.

Abstract
in English, Chinese

Objective:The aim of this study is to investigate the efficacy of posterior cordotomy with partial arytenoidectomy in bilateral vocal fold paralysis（BVFP）. Methods:Medical records of 37 patients with BVFP were retrospectively collected, and they were all admitted to the Department of Otolaryngology-Head and Neck Surgery, West China Hospital of Sichuan University, from Jan. 2019 to Dec. 2023. Preoperative and postoperative evaluations of respiratory function, voice quality, and swallowing function were conducted. Results:Postoperatively, 32 out of 37 patients achieved significant relief in breathing difficulties. Out of 29 patients with tracheostomy, 26（89.7%） were successfully decannulated. One month postoperative follow-up revealed a decline in voice quality for 33 patients（89.2%）, and 5 cases（13.5%） reported a decrease in swallowing function. However, by three months postoperatively, both voice quality and swallowing function showed significant improvement. Conclusion:Posterior cordotomy with partial arytenoidectomy is an effective surgical method for BVFP, and significantly improve respiratory difficulty despite its impact on voice quality, with no significant impairment to swallowing function, shows significant clinical value.

目的：探讨杓状软骨部分切除联合声带后份裂开术在双侧声带麻痹（BVFP）中的临床疗效。 方法：收集四川大学华西医院耳鼻咽喉-头颈外科2019年1月-2023年12月收治入院且资料完整并完成随访的BVFP患者共37例，对其术前和术后呼吸功能、嗓音质量和吞咽功能等进行评估。 结果：37例患者中，32例（86.5%）患者呼吸困难明显缓解，29例气切患者中26例术后成功拔管，拔管率为89.7%，术后1个月复查，33例（89.2%）患者嗓音质量较术前下降，5例（13.5%）吞咽功能下降，但术后3个月嗓音及吞咽明显改善。 结论：杓状软骨部分切除联合声带后份裂开是一种治疗BVFP有效的手术方法，成功率高，对嗓音质量影响有限，对吞咽功能无明显影响，具有较高的临床应用价值。.

Keywords: arytenoidectomy; bilateral vocal fold paralysis; endoscopic minimally invasive surgery.

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Conflict of interest statement

The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose.

Figures

图 1
图 1
2例患者双侧声带麻痹手术前表现
图 2
图 2
1例患者杓状软骨部分切除联合声带后份裂开
图 3
图 3
3例患者双侧声带麻痹术后喉腔后份呼吸区较前明显宽敞
图 4
图 4
术前、术后1个月、术后3个月呼吸困难分度均值差异性分析
图 5
图 5
部分患者手术疗效欠佳
图 6
图 6
术前、术后1个月、术后3个月嗓音及吞咽功能的差异性分析
See this image and copyright information in PMC

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