OBJECTIVES: After bilateral vocal @entity912 , the consequent paramedian position usually necessitates tracheostomy for at least 6 months, when the @entity912 is potentially reversible. In the present study a reversible endoscopic vocal cord laterofixation procedure was used instead of tracheotomy. STUDY DESIGN: Prospective study of 15 consecutive @entity1 aged 33 to 73 years who suffered bilateral recurrent @entity2895 after thyroid surgery. METHODS: The operation was performed endoscopically with a special endo-extralaryngeal needle carrier instrument. Two ends of a monofilament nonresorbable thread were passed above and under the posterior third of the vocal cord and knotted on the prelaryngeal muscles, permitting the creation of an abducted vocal cord position. If movement of one or both vocal cords recovered, the suture was removed. Regular spirometric measurements and radiological aspiration tests were conducted on the @entity1 . RESULTS: During the follow-up period of 3 to 40 months, airway stability was demonstrated in all but one @entity1 . After the repeated lateralization procedure, this @entity1 's breathing improved. @entity602 was observed in eight @entity1 . In six @entity1 further voice improvement was achieved when the threads were removed after vocal cord medialization or recovery. Mild postoperative @entity1173 ceased in the first postoperative days. CONCLUSIONS: This management approach offers an alternative to tracheostomy in the early period of @entity912 , avoids terminal loss of @entity1740 , and provides a "one-stage" solution for permanent bilateral recurrent @entity128 .

Airway complication after thyroid surgery: minimally invasive management of bilateral recurrent XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity602 :: ('MESH:D013118', 'Disease') :: ['Partial or complete vocal cord recovery'] @entity128 :: ('MESH:D020209', 'Disease') :: ['nerve injuries'] @entity2895 :: ('MESH:D015840', 'Disease') :: ['laryngeal nerve paralysis'] @entity1740 :: ('MESH:D014832', 'Disease') :: ['voice quality'] @entity912 :: ('MESH:D010243', 'Disease') :: ['paralysis', 'cord paralysis'] @entity1173 :: ('MESH:D053120', 'Disease') :: ['aspirations']
@entity128 :: (MESH:D020209,Disease) :: ['nerve injury']
