SCOPING REVIEW ABOUT RESULTS OF METHOD SURGICAL POSTERIOR CORDOTOMY LASER CO2 AND ENDOSCOPY LATEROFIXTION FOR TREATMENT OF ADDUCTOR BILATERAL VOCAL FOLDS PARALYSIS

Trương Mạnh Cường1,, Nguyễn Quang Trung1
1 Hanoi Medical University

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Abstract

Objectives: Overview of treatment results for abductor bilateral vocal fold paralysis in adults by laser CO2 posterior cordotomy and laterofixation of the vocal fold endosopic. Methods: Scoping review. We searched the database on PubMed, Medline, the electronic library of Hanoi Medical University to identify original articles related to sugery treatment for abductor bilateral vocal fold paralysis in adults by posterior cordotomy laser CO2 and laterofixation of the vocal fold endosopic in the past 15 years. Results: 27 studies include 17 studies of laser CO2 posterior cordotomy and 10 studies of laterofixation of the vocal fold endosopic were included in this review. Outcomes of laser CO2 posterior cordotomy method: successful decannulation rate: 63,4%-100%, timing of decannulation: 7 days-6,2 months, rate of complication: 7,7% - 75,1%, rate of revision surgery: 9,7% - 58,3%. Outcomes of laterofixation of the vocal fold endosopic method: successful decannulation rate: 66,7% – 100%, timing of decannulation: 0 - 39 days, rate of complication: 6,3% - 100%, rate of revision surgery: 3,3%-20%. Conclusion: Treatment for abductor bilateral vocal fold paralysis in adults by laser CO2 posterior cordotomy and laterofixation of the vocal fold endosopic have positive results because they improved the breathing function in most patients and allowed decannulation in patients with tracheostomy.

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References

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