title: Cordoplasty: a new technique for managing bilateral vocal cord paralysis and its comparison with posterior cordotomy and external procedure in a large study group.
abstract: To compare the functional results between posterior cordotomy, cordoplasty and external procedure in managing bilateral vocal cord paralysis in one of the largest published study group. Retrospective and comparative study. 54 patients with bilateral vocal cord paralysis who underwent posterior cordotomy (Group-I), cordoplasty (Group-II) and external procedure (Group-III) from 2001 to 2013 were compared for functional outcomes. Successful decannulation was achieved more in Group-I and II than in Group-III. Voice outcome was better in Group-II patients compared to other groups. Outcomes of cordoplasty was better than posterior cordotomy and external procedures, with acceptable airway and good quality of voice. Posterior cordotomy is preferred in patients without tracheostomy and in pediatric patients. In patients with tracheostomy or who accept temporary tracheostomy, a cordoplasty is preferred for favorable voice. External procedure is preferred for patients not fit for general anesthesia.
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, MCV Memorial ENT Trust Hospital, 115, Palaghat Road, Pollachi, 642001 TN India.
authors.forename: Veluswamy
authors.initials: V
authors.lastname: Anand
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, MCV Memorial ENT Trust Hospital, 115, Palaghat Road, Pollachi, 642001 TN India.
authors.forename: B R
authors.initials: BR
authors.lastname: Kumaran
authors.affiliation: Department of Otorhinolaryngology and Head and Neck Surgery, MCV Memorial ENT Trust Hospital, 115, Palaghat Road, Pollachi, 642001 TN India.
authors.forename: S
authors.initials: S
authors.lastname: Chenniappan
keywords: Bilateral vocal cord paralysis; Cordotomy; Laser surgery; Voice quality