[Skip to Content]
[Skip to Content Landing]
Article
April 1948

INTRALARYNGEAL APPROACH FOR ARYTENOIDECTOMY IN BILATERAL ABDUCTOR PARALYSIS OF THE VOCAL CORDSA Preliminary Report

Arch Otolaryngol. 1948;47(4):505-508. doi:10.1001/archotol.1948.00690030527016
Abstract

ATTENTION to the surgical treatment of bilateral abductor paralysis of the vocal cords was renewed by King1 in 1939. Originally he conceived the idea of transposing the anterior belly of the omohyoid muscle to the arytenoid cartilage as a method of replacing the function of the paralyzed cricoarytenoideus posticus muscle. The operation described as a method of opening the cords by the use of the transposed muscle actually was a new method of cord displacement. Hoover2 has reported success with a submucous resection of the vocal cords. Kelly3 (1940) has described a procedure in which an arytenoidectomy was carried out through a small window in the thyroid cartilage. Orton4 has described a lateral transthyroid approach (Trotter's) in which removal of the posterior third of the ala of the thyroid cartilage was carried out and then an arytenoidectomy was performed. The internal perichondrium and thyroarytenoideus muscle was then fixed to the

First Page Preview View Large
First page PDF preview
First page PDF preview
×