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AN APPROBATION FOR COBLATION IN KASHIMA PROCEDURE

VRINDA B NAIR B

Abstract


The most common cause of BVFI is iatrogenic or surgical (44) 1. Among surgical procedures, Thyroid surgery is the most common culprit. The management of BVFP is a delicate equilibrium between airway, voice and swallowing. This article discusses our experience in treating BVFP by Posterior Cordotomy - Kashimas procedure by Coblation Technology, which restores sufficient glottic space, at the same time preserving the phonatory and sphincteric functions of the larynx. As Coblation causes minimal tissue injury, our patients could be decanulated on the third postoperative day as opposed to traditional teaching. All of them were           successfully decanulated from tracheostomy with an adequate airway exercise tolerance, a near normal voice and no aspiration.

 


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References


Joel A Ernster, MD Arlen D Meyers, MD. Bilateral Vocal Fold Paralysis. emedicine.medscape.com/article/ 863885-overview Jan 6, 2012.

B Viswanatha, MBBS, MS, DLO Arlen D Meyers, MD, MBA. Vocal Cord Cordotomy. emedicine.medscape.com/article/1891219-overview;Updated: Feb 22, 2013.

R. Saetti, m. Silvestrini, m. Galiotto, f. Derosas, s. Narne. Contact laser surgery in treatment of vocal fold paralysis; ACTA OTORHINOLARYNGOL ITAL 2003;23:33-37

Adriana Hachiya, Luciana Miwa Nita, Fernanda Silveira Chrispim, Rui Imamura, Domingos Hiroshi Tsuji, Luiz Ubirajara Sennes. Posterior Cordotomy and Partial Arytenoidectomy for Bilateral Vocal Cord Paralysis in Adduction Therapy; Intl. Arch. Otorhinolaryngol., São Paulo, v.11, n.3, p. 311-316, 2007.

Hazarika P, Nayak DR, Balakrishnan R, Raj G, Pujary K, Mallick SA. KTP532 laser cordotomy for bilateral abductor paralysis. Indian J Otolaryngol Head Neck Surg. 200254(3):21620.

Coblator® II System User’s manual. ArthroCare ENT.

Laryngology seminar;Management of Bilateral Vocal Cord Immobility R3 2002-10-23

Crumley, R. L. (1982), Experiments in laryngeal reinnervation. The Laryngoscope, 92: 1–27. doi: 10.1288/00005537-198209001-00001

Otto RA, Templer J, Davis W, Homeyer D, Stroble M.Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery [1985, 93(5):634- 638];Coordinated electrical pacing of vocal cord abductors in recurrent laryngeal nerve paralysis.(PMID:3932932)

Bailey: Head & Neck surgery-Otolaryngology, 4th edition, chapter 61, Treatment of Vocal Fold Paralysis.

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