Lateral fixation for bilateral vocal cord paralysis and its social aspects

Abstract

Introduction: Different techniques are used to reduce laryngeal obstruction in bilateral vocal cord paralysis. Methods: This article describes one of the simplest and less traumatic techniques that can be used in cases of bilateral vocal cord paralysis. This technique has been previously published, but it is the first time to be used in Malta. No preoperative tracheostomy is needed. This procedure is carried out under general anesthesia where two needles are inserted through the thyroid cartilage. Non-resorbable monofilament sutures are introduced through the needles and the needles are then withdrawn. The fiber thus forms a permanent loop around the vocal cord. Conclusion: Using this new method the patients’ breathing as well as voice quality improves significantly. Apart from being very effective, this technique is also minimally invasive and at the same time doesn’t preclude more extensive surgical procedures from being performed.