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Article
March 1953

EXTRALARYNGEAL APPROACH TO ARYTENOIDECTOMY IN BILATERAL PARALYSIS OF ABDUCTORS OF LARYNX

Author Affiliations

ZAGREB, YUGOSLAVIA
From the Department of Otorhinolaryngology, State Hospital, Primarius Dr. Milovan Ćurković, Director.

AMA Arch Otolaryngol. 1953;57(3):328-333. doi:10.1001/archotol.1953.00710030348007
Abstract

FOR MANY years laryngologists have been seeking the best surgical method of dealing with bilateral abductor laryngeal paralysis. Former intralaryngeal operations were not entirely satisfactory. The postoperative function of the voice was a poor one, and major devastations were followed by cicatricial stenosis of the larynx.

In 1939, King1 had the ingenious idea of widening the narrowed rima glottidis extralaryngeally. His original purpose had been to replace the paralyzed muscle with a normal one, i. e., to fix the belly of the omohyoid muscle on the processus muscularis of the arytenoid cartilage. In his further work King2 has obtained improved postoperative functional results with a new modification by which a disarticulation of the arytenoid is done first, and afterward the arytenoid cartilage is fixed on the omohyoid muscle. This new modification is an arytenoidopexy.

King's extralaryngeal operations have aroused the interest of laryngologists throughout the world. His discovery

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