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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
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
Does not destroy the vocal folds (allowing for possible laryngeal reinnervation (e.g. phrenic to PCA) or laryngeal pacing in the future. Potential risk for aspiration after surgery. Worsening of voice quality after surgery
Graft failure or displacement, aspiration, failure to decannulate or continued airway symptoms
none
N/A
N/A

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