The Cincinnati (Ohio) Children's Hospital experience with arytenoidectomy for bilateral midline vocal cord paralysis was presented by Dr Sukgi Choi at the annual meeting of the American Broncho-Esophagological Association, Palm Beach, Fla. Of 18 patients who underwent arytenoidectomy between 1983 and 1989, 13 had congenital bilateral midline vocal cord paralysis, and five had acquired bilateral vocal cord paralysis. All patients selected for arytenoidectomy were tracheotomy dependent, had failed to improve spontaneously or after treatment of the underlying cause, and had been observed for a minimum of 2 years prior to surgery. Arytenoidectomy was considered successful if the patient could be decannulated.
Three of four patients managed by endoscopic laser arytenoidectomy failed initial treatment. Of these three cases, one required four additional laser procedures, one underwent an anterior (ie, open) arytenoidectomy, and one is still cannulated. Thirteen of 14 patients managed initially by anterior arytenoidectomy were successfully decannulated without further surgery. The