Coblator Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis. (17th September 2015)

• Record Type: Journal Article
• Authors: Googe, Benjamin; Nida, Andrew; Schweinfurth, John
• Other Names: Mevio Emilio Academic Editor.
• Is Part Of: Case reports in otolaryngology. Volume 2015(2015)
• Publication Date: 2015-09-17
• Subjects: Otolaryngology -- Periodicals; Otolaryngology -- Case studies -- Periodicals; Otolaryngology; Otorhinolaryngologic Diseases; Otolaryngology; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617.51
• DOI: 10.1155/2015/487280
• Languages: English
• ISSNs: 2090-6765

Abstract

Abstract : A 77-year-old female with bilateral vocal cord paralysis and dependent tracheostomy status after total thyroidectomy presented to clinic for evaluation of decannulation via arytenoidectomy. Preliminary data suggests coblation versus standard CO2 laser ablation in arytenoidectomy may provide benefits in terms of decreased tissue necrosis and patient outcome. The patient elected to proceed with arytenoidectomy by coblation. The initial procedure went well but postoperative bleeding required a return trip to the operating room for hemostasis. In the coming months the patient's tracheostomy tube was gradually downsized and eventually capped. She was decannulated eight months after surgery, speaking well and without complaints. Details of the surgical procedure and outcome will be discussed.