Endo-extra laryngeal suture: Indications, technique and results - Beyond laryngeal paralysis
DOI:
https://doi.org/10.34631/sporl.457Keywords:
endo-extralaryngeal suture, bilateral vocal fold paralysis, laryngeal respiratory dystonia glottic stenosisAbstract
The reversible endo-extralaryngeal suture (REELS) is a surgical technique that allows increasing the glottal lumen. The authors present the Service´s experience with regard to indications, technique and results of REELS based on a retrospective study. We describe 10 patients, all female, seven with bilateral vocal fold paralysis (BVFP) after total thyroidectomy, two with laryngeal respiratory dystonia (LRD) and one with glottic stenosis (GS) due radiotherapy for glottic carcinoma. The ventilation improvement was immediate in all patients. Voice quality worsened initially but gradually recovered for most of them. We did not observe any choking or aspiration episodes.
The REELS has good results for BVFP and in patients with LRD and GS.
References
Kirchner FR. Endoscopic lateralization of the vocal cord in abductor paralysis of the larynx. Laryngoscope. 1979 Nov; 89(11):1779-83.
Ejnell H, Bake B, Hallen O, Lindstrom J et al. A new simple method of laterofixation and its effects on orolaryngeal airway resistance and
fonation. Acta Otolaryngol. 1982; 386:196–197.
Lichtenberger G. Endo-extralaryngeal needle carrier instrument. Laryngoscope. 1983 Oct; 93(10):1348-50.
Sapundzhiev N, Lichtenberger G, Eckel HE, Friedrich G et al. Surgery of adult bilateral vocal fold paralysis in adduction: history and trends. Eur Arch Otorhinolaryngol.2008 Dec; 265(12):1501-14.
Lichtenberger G, Toohill RJ. The endo-extralaryngeal needle carrier. Otolaryngol Head Neck Surg. 1991 Nov; 105(5):755-6.
Lichtenberger G. Reversible immediate and definitive lateralization of paralyzed vocal cords. Eur Arch Otorhinolaryngol. 1999;256(8): 407-11.
Jóri J, Rovó L, Czigner J. Vocal cord laterofixation as early treatment for acute bilateral abductor paralysis after thyroid surgery. Eur Arch Otorhinolaryngol. 1998;255(7): 375-8.
Hyodo M, Nishikudo K, Motoyoshi K. Laterofixation of the vocal fold using an endo-extralaryngeal needle carrier for bilateral vocal fold
paralysis. Auris Nasus Larynx. 2009 Apr; 36 (2): 181-6.
Rovó L, Mandani S, Sztanó B, et al. A new thread guide instrument for endoscopic arytnoide lateropexy. Laryngoscope. 2010 Oct; 120 (10): 2002-7.
Ezzat WF, Shehata M, Kamal I, Riad MA. Adjustable laterofixation of the vocal fold in bilateral vocal fold paralysis. Laryngoscope. 2010
Apr;120 (4):731-3.
Lchtenberger G. Reversible lateralization of the paralysed vocal cord without tracheostomy. Ann Otol Rhinol Laryngol. 2002 Jan;111(1):21-6.
Rovó L, Jori J, Ivan L, et al. « Early » vocal cord laterofixation for the treatment of bilateral vocal cord immobility. Eur Arch Otorhinolaryngol. 2001 Dec;258(10):509-13.
Müller A, Paulsen FP. Impact of vocal cord paralysis on cricoarytenoid joint. Ann Otol Rhinol Laryngol. 2002 Oct;111(10):896-901.
Friedrich G, Kiesler K, Gugatschka M. Treatment of functional ventricular fold phonation by temporary suture lateralization. J Voice.
Sep;24(5):606-9.
