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ARTICLE |

Continuous Positive Airway Pressure: Title and subTitle BreakUse in Bilateral Vocal Cord Paralysis FREE

Robert P. Zitsch, III, MD
[+] Author Affiliations

Accepted for publication May 6, 1992.

Reprint requests to the Division of Otolaryngology, One Hospital Drive, Room MA314, Columbia, MO 65212 (Dr Zitsch).


Arch Otolaryngol Head Neck Surg. 1992;118(8):875-876. doi:10.1001/archotol.1992.01880080097021
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• Continuous positive airway pressure has been used in the management of a number of upper airway problems, and has become well established as a treatment option for obstructive sleep apnea. The therapeutic value is achieved by an internal splinting effect on the compromised airway. Airway compromise from bilateral recurrent laryngeal nerve trauma can occur with surgical procedures associated with extensive dissection of these nerves. The use of continuous positive airway pressure for the management of bilateral vocal cord paralysis, although not previously described, to my knowledge, is outlined in this article.

(Arch Otolaryngol Head Neck Surg. 1992;118:875-876)

REFERENCES

Abbey NC, Cooper KR, Kwentus JA.  Benefit of nasal CPAP in obstructive sleep apnea is due to positive pharyngeal pressure . Sleep . 1989;;12:420-422.
Butt W, Shann F, Walker C, Williams J, Duncan A, Phelan P.  Acute epiglottitis: a different approach to management . Crit Care Med. 1988;;16:43-47.
Jonson B, Ahlstrom H, Lindroth M, Svenningsen NW.  Continuous positive airway pressure: modes of action in relation to clinical applications . Pediatr Clin North Am. 1980;;27:687-699.
Pearson FG, Todd TRJ, Cooper JD.  Experience with primary neoplasms of the trachea and carina . J Thorac Cardiovasc Surg. 1984;;88:511-518.
Grillo HC.  Management of tracheal tumors . Am J Surg. 1982;;143:697-700.
Grillo HC.  Tracheal tumors: surgical management . Ann Thorac Surg. 1978;;26:112-125.
Grillo HC, Mathisen DJ.  Tumors of the cervical trachea . In: Myers EN, Suen JY, eds. Cancer ofthe Head and Neck . 2nd ed. New York, NY: Churchill Livingstone Inc; 1989;:621-643.
Templer JW, Von Doersten PG, Quigley PR, Scott GC, Davis WE.  Laryngeal airway resistance: the relationships of airflow, pressure and aperture . Arch Otolaryngol Head Neck Surg. 1991;;117:867-870.
Orr JB.  Helium-oxygen gas mixtures in the management of patients with airway obstruction . Ear Nose Throat J. 1988;;67:866-869.

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Abbey NC, Cooper KR, Kwentus JA.  Benefit of nasal CPAP in obstructive sleep apnea is due to positive pharyngeal pressure . Sleep . 1989;;12:420-422.
Butt W, Shann F, Walker C, Williams J, Duncan A, Phelan P.  Acute epiglottitis: a different approach to management . Crit Care Med. 1988;;16:43-47.
Jonson B, Ahlstrom H, Lindroth M, Svenningsen NW.  Continuous positive airway pressure: modes of action in relation to clinical applications . Pediatr Clin North Am. 1980;;27:687-699.
Pearson FG, Todd TRJ, Cooper JD.  Experience with primary neoplasms of the trachea and carina . J Thorac Cardiovasc Surg. 1984;;88:511-518.
Grillo HC.  Management of tracheal tumors . Am J Surg. 1982;;143:697-700.
Grillo HC.  Tracheal tumors: surgical management . Ann Thorac Surg. 1978;;26:112-125.
Grillo HC, Mathisen DJ.  Tumors of the cervical trachea . In: Myers EN, Suen JY, eds. Cancer ofthe Head and Neck . 2nd ed. New York, NY: Churchill Livingstone Inc; 1989;:621-643.
Templer JW, Von Doersten PG, Quigley PR, Scott GC, Davis WE.  Laryngeal airway resistance: the relationships of airflow, pressure and aperture . Arch Otolaryngol Head Neck Surg. 1991;;117:867-870.
Orr JB.  Helium-oxygen gas mixtures in the management of patients with airway obstruction . Ear Nose Throat J. 1988;;67:866-869.

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