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Year : 2016  |  Volume : 6  |  Issue : 1  |  Page : 1-6

Suture lateralization for bilateral vocal fold immobility: A review of various techniques

Department of Laryngology, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India

Correspondence Address:
Dr. Sachin Gandhi
Deenanath Mangeshkar Hospital, Pune, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jlv.JLV_15_16

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Bilateral vocal fold immobility is characterized by narrowing of the glottic chink which could precipitate in the form of an acute airway insufficiency. The vocal cords may be immobile or fixed in the paramedian position depending upon the etiology and the time duration. The standard approach till the early part of the 19th century was to perform a tracheostomy in such patients. The glottis dilating operations which included cordectomy, arytenoidectomy were introduced in 1922 and have evolved over time. However most of the procedures being irreversible, were not the best line of management in cases with a recovering bilateral vocal fold paralysis. Suture lateralization was introduced as an alternative in the year 1978 which could be reversed if the paralysis resolved. This procedure had two main approaches 1) Endo – Extra laryngeal approach and 2) Extra- Endolaryngeal approach which have been published by different authors over the last 35 years. This current article reviews these techniques alongwith the published results.

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