Pre-emptive glottic enlargement before laryngotracheal surgery in patients at high risk for postoperative bilateral vocal fold paralysis† | Zendy

Thomas Schweiger | Zendy; Konrad Höetzenecker | Zendy; Imme Roesner | Zendy; Berit SchneiderStickler | Zendy; DorisMaria DenkLinnert | Zendy; Walter Klepetko | Zendy

Open Access

Pre-emptive glottic enlargement before laryngotracheal surgery in patients at high risk for postoperative bilateral vocal fold paralysis†

Author(s) -

Thomas Schweiger,

Konrad Höetzenecker,

Imme Roesner,

Berit SchneiderStickler,

DorisMaria DenkLinnert,

Walter Klepetko

Publication year - 2017

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1093/ejcts/ezx511

Subject(s) - medicine , swallowing , surgery , glottis , airway , larynx , recurrent laryngeal nerve , paralysis , complication , retrospective cohort study , laryngectomy , thyroid

Bilateral vocal fold paralysis (VFP) is a severe complication after laryngotracheal (LT) surgery. The reduced glottic opening leads to significant respiratory distress immediately after the operation and requires the placement of a tracheostomy in most cases. Patients with a pre-existing unilateral VFP or expected recurrent nerve resection are at the highest risk for glottic failure. These patients might benefit from a pre-emptive glottic enlargement before LT surgery.

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