Abstract |
We reviewed our clinical experience between 1991 and 1997 concerning use of the CO(2) laser for posterior ventriculocordectomy ( PVC) for the treatment of bilateral vocal cord paralysis. Pre- and postoperative functional evaluation was assessed in a prospective setting. In all, 41 patients (33 females and 8 males) underwent an endoscopic CO(2) laser PVC. Pre- and postoperative pulmonary function tests documented a significant statistical improvement in the parameters considered. Sixteen of 21 previously tracheostomized patients were decannulated within 15 months of operation. In no case was a postoperative tracheostomy required. We found no evidence of subclinical aspiration among our cases. Evaluation of vocal parameters by spectrographic analysis was assessed in 20 patients and revealed a postoperative reduction in voice quality. Laser CO(2) PVC seems to be an effective and reliable surgical procedure that allows for rapid decannulation and gives stable results with a low incidence of revision surgery and functional failures.
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Authors | F Pia, P Pisani, P Aluffi |
Journal | European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
(Eur Arch Otorhinolaryngol)
Vol. 256
Issue 8
Pg. 403-6
( 1999)
ISSN: 0937-4477 [Print] Germany |
PMID | 10525945
(Publication Type: Comparative Study, Journal Article)
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Chemical References |
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Carbon Dioxide
(therapeutic use)
- Female
- Humans
- Laser Therapy
(methods)
- Male
- Middle Aged
- Postoperative Care
- Preoperative Care
- Respiratory Function Tests
- Retrospective Studies
- Sound Spectrography
(methods)
- Treatment Outcome
- Vocal Cord Paralysis
(surgery)
- Vocal Cords
(surgery)
- Voice Quality
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