Abstract:Objective To study the curative effect and clinical application of unilateral vocal cord transection and partial cordectomy on the treatment of bilateral vocal cord paralysis.Methods9 patients suffering from secondary bilateral vocal cord paralysis received unilateral vocal cord transection and partial cordectomy under direct laryngoscope. All the patients were followed up postoperatively and the curative effect was analyzed.ResultsOne patient received the surgical procedures without tracheotomy and got complete remission of dyspnea postoperatively. 8 patients received tracheotomy. 7 of them got extubated 2 months postoperatively and 1 was extubated after the revision surgical procedure. Dyspnea was completely relieved in all patients. Although hoarseness got aggravated, the conversational voice was competent enough for daily life.ConclusionsUnilateral vocal cord transection and partial cordectomy has good effect on the treatment for bilateral vocal cord paralysis. With advantages of unnecessity of expensive instruments, simplicity in methodology, good clinical effect and rare surgical complications, these procedures are worthy of recommendation in general hospitals.
