Section: 
Rewiews
RewiewsSurgical treatment of bilateral paralytic laryngeal stenosis
A. A. Krivopalov (1), I. I. Braiko (2), P. A. Shamkina (1), Kanina A. D. (3)
(1) Saint Petersburg Research Institute of Ear, Throat, Nose and Speech Ministry of Healthcare of Russia, Saint Petersburg, 190013, Russia
(2) Regional Clinical Hospital at the Barnaul Station of RzhD, Barnaul, 656038, Russia
(3) Saint Petersburg State Pediatric Medical University Ministry of Health of Russia, Saint Petersburg, 194100, Russia
UDK: 616.22-009.11-031.5-07.271-089(048.8)
DOI: https://doi.org/10.18692/1810-4800-2019-3-79-86
ABSTRACT
The problem of treatment of chronic paralytic laryngeal stenosis remains relevant in the present-day otorhinolaryngology. Surgery has been the main treatment method at the period of 6 months onward from the onset of the disease. Traditionally, there are two options of surgical interventions in bilateral paralytic laryngeal stenosis: static, aimed at the mechanical extension of respiratory tract lumen, and dynamic ones, aimed at restoration of the vocal fold mobility. The surgical treatment complexity may be due to various aspects: the severe somatic status of patients in the case of stenosis decompensation, the complexity of technical provision of surgical intervention, the patients’ comorbidities, which hamper the rehabilitation process. The optimal surgical interventions in paralytic laryngeal stenosis should pursue the following goals: the improvement of respiratory function due to the larynx lumen extension; the maximum preservation of the vocal and protective functions of the larynx; to be sparing in relation to the larynx structures; to result in a reduction of the patient rehabilitation process. This article discusses the general issues of conservative and surgical treatment of paralytic bilateral stenosis of the larynx, the classification and options of the most frequently used surgeries, providing the detailed description of the technique of suture lateralization of the vocal folds.
Publication date:
18.06.2019
Keywords:
bilateral chronic paralytic laryngeal stenosis, treatment, laryngoplasty, suture methods, vocal folds lateralization. For citation:
Krivopalov A. A., Braiko I. I., Shamkina P. A., Kanina A. D. Surgical treatment of bilateral paralytic laryngeal stenosis. Rossiiskaya otorinolaringologiya. 2019;18(3):79–86. https://doi.org/ 10.18692/1810-4800-2019-3-79-86.