The authors have no funding, financial relationships, or conflicts of interest to disclose.
Head and Neck
Adjustable laterofixation of the vocal fold in bilateral vocal fold paralysis†
Article first published online: 4 MAR 2010
Copyright © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 120, Issue 4, pages 731–733, April 2010
How to Cite
Ezzat, W. F., Shehata, M., Kamal, I. and Riad, M. A. (2010), Adjustable laterofixation of the vocal fold in bilateral vocal fold paralysis. The Laryngoscope, 120: 731–733. doi: 10.1002/lary.20826
- Issue published online: 22 MAR 2010
- Article first published online: 4 MAR 2010
- Manuscript Accepted: 3 DEC 2009
- Vocal fold paralysis;
- vocal fold lateralization;
- Level of Evidence: 1c.
To describe a modification of VF laterofixation in patients with bilateral vocal fold paralysis (VFP), which allows adjusting the sutures tension according to voice and airway patency in the first postoperative day.
Prospective case study.
Twenty-one patients with recent bilateral VFP were treated by the modified laterofixation technique in Ain-Shams University hospitals between May 2007 and February 2009. Eight male patients and 13 females were included. The median age of the group was 36 years. The standard laterofixation procedure was performed; the Prolene sutures were inserted through the thyroid ala cartilage and looped around the paralyzed VF just anterior to the vocal process. The ultimate tension of the suture was adjusted later in the first postoperative day to gain feedback from the conscious patient about the airway patency and voice quality.
Satisfactory immediate result was achieved in 16 patients, with adequate airway, voice, and swallowing. Three other patients required bilateral procedures, one patient needed revision surgery. The procedure failed to achieve a satisfactory airway in one patient who remained dependant on a tracheotomy.
The modified laterofixation technique is a reliable first line treatment for recent bilateral VFP. Laryngoscope, 2010