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W. Jarrard Goodwin, Jr, MD, and collaborators in New Haven, Conn, recently reported their experience in the treatment of vocal cord fixation secondary to posterior commissure scar by thyrotomy, lysis of scar tissue, and stenting in six patients. Their report, presented at the Eastern Section meeting of the Triological Society in New York, emphasized the superiority of this technique over arytenoidectomy, which can weaken the voice or lead to aspiration. Five of their patients received split-thickness skin grafts, while the other received a mucosal flap. Both short-term (sponge) and long-term (rolled Silastic) stenting achieved good results. Vocal cord mobility returned to normal or near normal in all patients, and all patients have been decannulated. Voice quality in all patients was unchanged or improved. The authors stated that their experience suggests that restoration of an adequate airway in patients with posterior glottic stenosis can be achieved without sacrifice of either an
STANLEY RJ. Vocal Cord Mobilization by Posterior Laryngoplasty. Arch Otolaryngol Head Neck Surg. 1988;114(6):613. doi:10.1001/archotol.1988.01860180027017