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July 1949

REHABILITATION OF THE LARYNX IN CASES OF BILATERAL ABDUCTOR PARALYSIS: Open Approach to Arytenoidectomy, with Report of the Past Four Years' Experience

Arch Otolaryngol. 1949;50(1):91-96. doi:10.1001/archotol.1949.00700010098008

AT THE Annual Session held in San Franciso in 1946, Dr. Joseph D. Kelly,1 of New York, addressed this Section on the subject of laryngeal surgery for bilateral abductor paralysis. In his paper he made the following statements:

... one can sum up the situation in regard to bilateral abduction muscular paralysis by saying that there are two definite surgical procedures which have been tried and not found wanting according to statistics of successful results up to the present time. There is the posterior approach of Dr. [Brien T.] King2 with the attendant mobilization and fixation of the arytenoid cartilage to the alae of the thyroid cartilage. And the second procedure may be described as the arytenoidectomy in which a direct approach is made to the arytenoid cartilage through a window made in the thyroid cartilage....

Many have agreed with Dr. Kelly that arytenoidectomy is preferable to rotation and lateralization