Combined use of endoscopic CO2 laser excision of a marginal laryngeal tumor, radical neck dissection, and perioperative laterofixation of the opposite vocal cord

Miklós Csanady, László Rovó, József Jóri

Research output: Contribution to journalArticle

Abstract

We report the use of endoscopic laser excision of a marginal laryngeal tumor, radical neck dissection, and laterofixation of a paralyzed vocal cord in a 66-year-old man who had an early-stage right supraglottic endolaryngeal tumor and ipsilateral neck metastasis. He had a left vocal cord paralysis after a left pneumonectomy that was performed 5 years previously. The primary laryngeal tumor was excised by endoscopic CO2 laser resection, and a simultaneous radical neck dissection was carried out. Postoperatively, severe inspiratory dyspnea developed because of the surgical intervention on the right side causing moderate laryngeal edema and limited movement of the right vocal cord in addition to the paralyzed left side. An endolaryngeal laterofixation of the paralyzed left vocal cord was performed to provide the patient with an adequate airway instead of tracheostomy. This patient had a 2 years' follow-up without recurrence of tumor. In the meantime movement of the right vocal cord has returned, so that the patient's voice was socially acceptable and he has a functioning larynx.

Original languageEnglish
Pages (from-to)276-278
Number of pages3
JournalEuropean Archives of Oto-Rhino-Laryngology
Volume257
Issue number5
DOIs
Publication statusPublished - Jan 1 2000

Keywords

  • CO laser excision
  • Endolaryngeal tumor
  • Neck dissection
  • Neck metastasis
  • Vocal cord laterofixation

ASJC Scopus subject areas

  • Otorhinolaryngology

Fingerprint Dive into the research topics of 'Combined use of endoscopic CO<sub>2</sub> laser excision of a marginal laryngeal tumor, radical neck dissection, and perioperative laterofixation of the opposite vocal cord'. Together they form a unique fingerprint.

  • Cite this