Vocal cord reconstruction to treat aspiration caused by a post-intubation posterior glottic furrow.

Authors :: Daniel M
McArdle B
Osland K
Cheng AT
Source :: International journal of pediatric otorhinolaryngology [Int J Pediatr Otorhinolaryngol] 2012 Nov; Vol. 76 (11), pp. 1688-90. Date of Electronic Publication: 2012 Aug 09.
Publication Year :: 2012
Abstract: Objective: To present the case of a premature child with a furrow in the posterior vocal cord as a result of prolonged intubation, with symptoms of aspiration and poor voice, treated with a novel method of vocal cord reconstruction.<br />Methods: The vocal cord was reconstructed endoscopically by freeing up the edge of cord remnant and suturing this to a flap of inter-arytenoid mucosa to create a new cord.<br />Results: The resulting neo-cord was able to achieve full glottic closure with resolution of aspiration, and this was also accompanied by improvement in voice quality.<br />Conclusion: The described vocal cord reconstruction method proved to be a useful treatment for aspiration and poor voice caused by a post-intubation vocal cord furrow.<br /> (Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.)

Subjects :: Arytenoid Cartilage surgery
Humans
Infant, Newborn
Infant, Premature
Laryngeal Diseases surgery
Laryngeal Mucosa transplantation
Male
Respiratory Aspiration etiology
Respiratory Aspiration surgery
Voice Disorders etiology
Voice Disorders surgery
Intubation, Intratracheal adverse effects
Laryngeal Diseases etiology
Respiratory Aspiration complications
Vocal Cords surgery

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