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It describes how we do the endo-extralaryngeal technique of suture lateralization of vocal cord in pediatric bilateral vocal cord palsy.
It shows the important steps of the surgery and also the follow up awake fiber optic laryngoscopy exam.
Simple.
Reversible procedure.
Less operative time.
Avoid tracheostomy.
Bilateral vocal cord palsy
If patient has aspiration.
Not fit for general anesthesia.
Rigid laryngoscope
0 degree telescope.
Lichtenberger's needle carrier.
Free needle.
2-O Prolene suture.
Laryngeal probe.
Laryngoscopy with suspension.
Spontaneous breathing aided by side port insufflation.
None specific a part of routine pre op work up of congenital bilateral vocal cord palsy.
N/A
Aspiration
Laryngeal edema
Long term hoarseness
None
Trozzi M, Torsello M, Meucci D, et al. Pediatric Bilateral Vocal Cord Immobility: New Treatment With Preservation of Voice. Laryngoscope. 2023;133(9):2325-2332. doi:10.1002/lary.30535
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