A Case of Successful Enlargement of the Glottic Space Resulting from Modified Thyroarytenoid Myotomy for Bilateral Vocal Cord Abductor Paralysis

• Ogawa Makoto

  Department of Otorhinolaryngology and Sensory Organ Surgery, Osaka University School of Medicine

• Yamamoto Yoshifumi

  Department of Otorhinolaryngology and Sensory Organ Surgery, Osaka University School of Medicine

• Kamakura Takeshi

  Department of Otorhinolaryngology and Sensory Organ Surgery, Osaka University School of Medicine

• Inohara Hidenori

  Department of Otorhinolaryngology and Sensory Organ Surgery, Osaka University School of Medicine

• Watanabe Yusuke

  Department of Otorhinolaryngology, International Medical Welfare University, Mita Hospital

• Kubo Takeshi

  Department of Otorhinolaryngology and Sensory Organ Surgery, Osaka University School of Medicine

Bibliographic Information

Other Title

• 甲状披裂筋切除術変法により声門開大を達成した両側声帯外転障害の１例
• 症例報告 甲状披裂筋切除術変法により声門開大を達成した両側声帯外転障害の1例
• ショウレイ ホウコク コウジョウ ヒレツキン セツジョジュツ ヘンポウ ニ ヨリ セイモンカイダイ オ タッセイ シタ リョウソク セイタイ ガイテンショウガイ ノ 1レイ

Abstract

We reported a case in which enlargement of the glottal space was achieved with modified thyroarytenoid myotomy performed to reduce the volume of the vocal cords. The case is a female aged 68 years old suffering from persistent hoarseness for 6 months. At the first visit, she showed symptoms of stridor on aspiration, dyspnea and asthenic hoarseness. Laryngeal fiberscopic examination revealed impaired abductions on aspiration but no abnormalities on phonation or breath holding. After a tracheotomy under local anesthesia, a modified submucosal cordotomy was performed, involving incisions of the upper surface of the vocal cords, resection of the thyroarytenoid muscle, trimming of the mucosal flap, and suturing of the incisions. The incisions healed rapidly without raw-surfaced lesions after the operation. Four months after the operation, laryngoscopic examination showed appropriate closure of the glottis on phonation and a diamond-shaped enlargement of the glottal space on aspiration, with deletion of the stridor and without impairment of phonation deglutition.

Journal

• Nihon Kikan Shokudoka Gakkai Kaiho

  Nihon Kikan Shokudoka Gakkai Kaiho 57 (4), 371-377, 2006

  The Japan Broncho-esophagological Society

Keywords

• thyroarytenoid myotomy
• enlargement of the glottal space
• vocal cord abductor paralysis

Details

• CRID: 1390001205014623744
• NII Article ID: 130004469770
• NII Article ID: 10018332599
• NII Book ID: AN00187474
• DOI: 10.2468/jbes.57.371
• ISSN: 18806848
• ISSN: 00290645
• NDL BIB ID: 8066790
• Web Site: https://ndlsearch.ndl.go.jp/books/R000000004-I8066790
• Web Site: https://search.jamas.or.jp/link/ui/2006289180
• Text Lang: ja
• Data Source:
  • JaLC
  • NDL
  • Crossref
  • CiNii Articles
• Abstract License Flag: Disallowed