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Laser arytenoidectomy in children with bilateral vocal fold immobility

Cavalli, LJ; Worley, G; Bajaj, Y; (2007) Laser arytenoidectomy in children with bilateral vocal fold immobility. The Journal of Laryngology and Otology , 121 (1) 25 - 27. 10.1017/S0022215106001794. Green open access

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Abstract

Bilateral vocal fold immobility in children is a challenging problem because a balance between good airway and voice quality has to be achieved. Surgery to improve the airway is often postponed or avoided because of fear of losing the voice. In this study our results of laser arytenoidectomy in children are described. This was a retrospective case notes review at a tertiary level paediatric ENT department. The six patients in this case series ranged from nine to 16 years old at the time of laser arytenoidectomy. Post-operative airway and voice quality were assessed. All children in the series had an adequate post-operative airway. Four of these patients had tracheostomies pre-operatively and achieved decannulation. All six patients rated their post-operative voice as better than pre-operatively. This is principally due to increased loudness associated with increased airflow through the larynx, particularly after tracheostomy decannulation. It is recommended that special care should be taken not to disturb the anterior two thirds of the vocal fold during the surgery in order to achieve a good post-operative voice outcome.

Type: Article
Title: Laser arytenoidectomy in children with bilateral vocal fold immobility
Open access status: An open access version is available from UCL Discovery
DOI: 10.1017/S0022215106001794
Publisher version: http://dx.doi.org/10.1017/S0022215106001794
Language: English
Additional information: Copyright Cambridge University Press 2006
Keywords: Arytenoidectomy, Larynx Surgical Procedures, Laser, Children, Voice
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Language and Cognition
URI: https://discovery.ucl.ac.uk/id/eprint/1315649
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