Posterior Cricoid Split and Costal Cartilage Grafting for Bilateral Vocal Fold Paralysis
Contributors: Noemie Rouillard-Bazinet and Julina Ongkasuwan
Bilateral vocal fold paralysis causes airway obstruction and, in some patients, tracheostomy dependence. Posterior cricoid split with costal cartilage grafting can open the posterior glottis and improving the airway.
DOI: http://dx.doi.org/10.17797/hyp0b3mzd5
Editor Recruited By: Michael M. Johns III, MD
Endoscopic posterior cricoid split with costal cartilage grafting
Bilateral Vocal fold paralysis
N/A
Accublade CO2 laser
Laryngeal spreader
Suspension laryngoscopy with laryngeal spreader for improved visualization. Accublade CO2 laser with a vertical line setting.
Flexible laryngoscopy to assess vocal fold immobility
N/A
Graft failure or displacement, aspiration, failure to decannulate or continued airway symptoms
none
N/A
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