Masoud Kazemi
With more and more cases of thyroidectomy and anterior
approach to the cervical spine and neurovascular operations
of the cervical region, we encounter more cases of
laryngeal TVC paralysis, unilateral or bilateral.In unilateral
laryngeal paralysis the chief complaint is decrease in
voice quality and hoarseness, and sometimes aspiration.
But In bilateral laryngeal paralysis vocal folds are in median
or para-median position, so the main complaint is
post- extubation suffocation and a need for re-intubation
or emergent tracheotomy.
In this presentation, I will review both types of laryngeal
paralysis and as a laryngologist I explain details of our
management approach in each case.
In unilateral lesions the paralytic fold should be medialize
to restore the previous glottis closure; “medialization
thyroplasty”. But in bilateral paralysis we should lateralize
the fold, or resect the posterior part of the fold with laser
microsurgery; “posterior cordectomy”.