Coblator Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis

A 77-year-old female with bilateral vocal cord paralysis and dependent tracheostomy status after total thyroidectomy presented to clinic for evaluation of decannulation via arytenoidectomy. Preliminary data suggests coblation versus standard CO2 laser ablation in arytenoidectomy may provide benefits...

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Main Authors: Benjamin Googe, Andrew Nida, John Schweinfurth
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Otolaryngology
Online Access:http://dx.doi.org/10.1155/2015/487280
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author Benjamin Googe
Andrew Nida
John Schweinfurth
author_facet Benjamin Googe
Andrew Nida
John Schweinfurth
author_sort Benjamin Googe
collection DOAJ
description A 77-year-old female with bilateral vocal cord paralysis and dependent tracheostomy status after total thyroidectomy presented to clinic for evaluation of decannulation via arytenoidectomy. Preliminary data suggests coblation versus standard CO2 laser ablation in arytenoidectomy may provide benefits in terms of decreased tissue necrosis and patient outcome. The patient elected to proceed with arytenoidectomy by coblation. The initial procedure went well but postoperative bleeding required a return trip to the operating room for hemostasis. In the coming months the patient’s tracheostomy tube was gradually downsized and eventually capped. She was decannulated eight months after surgery, speaking well and without complaints. Details of the surgical procedure and outcome will be discussed.
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series Case Reports in Otolaryngology
spelling doaj-art-8423ca6a14b94dea809e6de6fc3f43382025-02-03T01:23:00ZengWileyCase Reports in Otolaryngology2090-67652090-67732015-01-01201510.1155/2015/487280487280Coblator Arytenoidectomy in the Treatment of Bilateral Vocal Cord ParalysisBenjamin Googe0Andrew Nida1John Schweinfurth2University of Mississippi School of Medicine, University of Mississippi Medical Center, Jackson, MS 39216, USAUniversity of Mississippi Medical Center, Department of Otolaryngology, Jackson, MS 39216, USAUniversity of Mississippi Medical Center, Department of Otolaryngology, Jackson, MS 39216, USAA 77-year-old female with bilateral vocal cord paralysis and dependent tracheostomy status after total thyroidectomy presented to clinic for evaluation of decannulation via arytenoidectomy. Preliminary data suggests coblation versus standard CO2 laser ablation in arytenoidectomy may provide benefits in terms of decreased tissue necrosis and patient outcome. The patient elected to proceed with arytenoidectomy by coblation. The initial procedure went well but postoperative bleeding required a return trip to the operating room for hemostasis. In the coming months the patient’s tracheostomy tube was gradually downsized and eventually capped. She was decannulated eight months after surgery, speaking well and without complaints. Details of the surgical procedure and outcome will be discussed.http://dx.doi.org/10.1155/2015/487280
spellingShingle Benjamin Googe
Andrew Nida
John Schweinfurth
Coblator Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis
Case Reports in Otolaryngology
title Coblator Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis
title_full Coblator Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis
title_fullStr Coblator Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis
title_full_unstemmed Coblator Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis
title_short Coblator Arytenoidectomy in the Treatment of Bilateral Vocal Cord Paralysis
title_sort coblator arytenoidectomy in the treatment of bilateral vocal cord paralysis
url http://dx.doi.org/10.1155/2015/487280
work_keys_str_mv AT benjamingooge coblatorarytenoidectomyinthetreatmentofbilateralvocalcordparalysis
AT andrewnida coblatorarytenoidectomyinthetreatmentofbilateralvocalcordparalysis
AT johnschweinfurth coblatorarytenoidectomyinthetreatmentofbilateralvocalcordparalysis