alexa Framework Surgery for Treatment of Unilateral Vocal Fold Paralysis.
Anesthesiology

Anesthesiology

Journal of Anesthesia & Clinical Research

Author(s): Daniero JJ, Garrett CG, Francis DO

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Abstract Laryngeal framework surgery is the current gold standard treatment for unilateral vocal fold paralysis. It provides a permanent solution to glottic insufficiency caused by injury to the recurrent laryngeal nerve. Various modifications to the original Isshiki type I laryngoplasty procedure have been described to improve voice and swallowing outcomes. The success of this procedure is highly dependent on the experience of the surgeon as it epitomizes the intersection of art and science in the field. The following article reviews the evidence, controversies, and complications related to laryngoplasty for unilateral vocal fold paralysis. It also provides a detailed analysis of how and when arytenoid-positioning procedures should be considered, and summarizes the literature on postoperative outcomes.
This article was published in Curr Otorhinolaryngol Rep and referenced in Journal of Anesthesia & Clinical Research

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