This article was presented as a poster at the Spring 2011 COSM meeting as part of the American Laryngological Association.
Article first published online: 25 JUL 2011
Copyright © 2011 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 121, Issue 10, pages 2165–2171, October 2011
How to Cite
Meyer, T. K. and Wolf, J. (2011), Lysis of interarytenoid synechia (Type I posterior glottic stenosis): Vocal fold mobility and airway results. The Laryngoscope, 121: 2165–2171. doi: 10.1002/lary.22036
There was no financial support or funding for this project.
Tanya Meyer and Jeffrey Wolf have no financial disclosures.
The authors have no conflicts of interests to disclose.
- Issue published online: 21 SEP 2011
- Article first published online: 25 JUL 2011
- Accepted manuscript online: 6 JUL 2011 02:14PM EST
- Manuscript Accepted: 20 MAY 2011
- Manuscript Received: 14 MAY 2011
- Posterior glottic stenosis;
- glottic scar;
- cricoarytenoid joint ankylosis;
- cricoarytenoid joint immobility;
- type I posterior glottic stenosis;
- Level of Evidence: 4.
The Type I Posterior Glottic Stenosis (PGS-I) is a well-described but uncommon clinical entity. Despite this, there is little known about the outcome of surgical treatment.
Retrospective case series.
Thirteen cases met inclusion criteria. All but one patient had a tracheostomy at the time of initial evaluation. At the postoperative visit, seven patients (54%) had completely normal vocal fold motion. Of the verbal patients, 6 (50%) had normal vocal function as reported by both the patient/caregiver and the physician, and 10 (83%) patients were successfully decannulated.
Patients with an isolated interarytenoid synechia have an excellent prognosis with regard to decannulation. Although many patients regain normal vocal fold motion and a return to their preintubation vocal function, a significant proportion can have persistent deficits in vocal fold mobility and some level of dysphonia. This report represents the largest known series of PGS-I cases.