Otorhinolaryngology-Head and Neck Department, University Hospital of Verona, Verona, Italy.
Department of Otolaryngology, Ospedale San Bortolo, Vicenza, Italy.
Eur Arch Otorhinolaryngol. 2023 Dec;280(12):5661-5664. doi: 10.1007/s00405-023-08234-z. Epub 2023 Sep 29.
The treatment of bilateral vocal fold paralysis is mainly surgical and several procedures can be used to guarantee adequate breathing. Furthermore, other causes of the narrowing of the natural airways could coexist and the treatment should consider all of them.
A supraglottic extension of posterior cordectomy to the false homolateral chord is described, which provides a further widening of the airway while maintaining acceptable voice quality.
Endoscopic posterior ventricular cordectomy performed by contact diode laser may be a viable and safe option, especially in those patients who present bilateral vocal fold paralysis associated with various degrees of laryngospasm.
双侧声带麻痹的治疗主要是手术，有几种方法可以保证呼吸通畅。此外，可能还存在其他导致自然气道变窄的原因，因此治疗应考虑到所有这些原因。
描述了一种将后声带的声门上延伸至假同侧声带的手术方法，该方法在保持可接受的音质的同时，进一步扩大了气道。
通过接触二极管激光进行的内镜后室带切除术可能是一种可行且安全的选择，特别是对于那些患有双侧声带麻痹并伴有不同程度喉痉挛的患者。
