5 Years of Diode Laser “Π” Technique for Bilateral Vocal Fold Immobility: A Technique That Improves Airway and Is Friendly to the Voice

Petros D. Karkos; Marios Stavrakas; Ioannis Koskinas; Konstantinos Markou; Stefanos Triaridis; Jannis Constantinidis

doi:10.1177/0145561320940135

5 Years of Diode Laser “Π” Technique for Bilateral Vocal Fold Immobility: A Technique That Improves Airway and Is Friendly to the Voice

Petros D. Karkos^*, Marios Stavrakas, Ioannis Koskinas, Konstantinos Markou, Stefanos Triaridis, Jannis Constantinidis

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: To demonstrate the efficacy of a new laser surgical technique for bilateral vocal fold immobility (BVFI) on postoperative quality of voice and swallowing.

METHODS: Prospective study in a tertiary university hospital and a private hospital. Patients with iatrogenic BVFI were included. Outcome measures were Voice Handicap Index 10, 10-item Eating Assessment Tool, flexible laryngoscopy, and success of decannulation.

RESULTS: Forty patients with post thyroidectomy BVFI were initially enrolled in our study; only 12 patients returned questionnaires and kept their follow-ups and were included in the study. All patients were successfully decannulated and remain decannulated up to 24-month follow-up. There was a statistically significant improvement in quality of swallowing and no significant deterioration in quality of voice. There was no need for revision up to 24-month follow up.

CONCLUSIONS: The "Π" technique using diode laser technology is a new and safe technique for BVFI with excellent long-term decannulation rates and improvement in quality of life and swallowing without significant changes in voice quality.

Original language	English
Pages (from-to)	83S-86S
Journal	Ear, Nose and Throat Journal
Volume	100
Issue number	1_suppl
Early online date	14 Jul 2020
DOIs	https://doi.org/10.1177/0145561320940135
Publication status	Published - Feb 2021
Externally published	Yes

ASJC Scopus subject areas

Otorhinolaryngology

Keywords

Adult
Aged
Airway Extubation
Airway Management/methods
Deglutition
Female
Humans
Laryngoscopy/methods
Lasers, Semiconductor/therapeutic use
Male
Middle Aged
Postoperative Period
Prospective Studies
Treatment Outcome
Vocal Cord Paralysis/physiopathology
Voice Quality
Young Adult

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10.1177/0145561320940135

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title = "5 Years of Diode Laser “Π” Technique for Bilateral Vocal Fold Immobility: A Technique That Improves Airway and Is Friendly to the Voice",

abstract = "BACKGROUND: To demonstrate the efficacy of a new laser surgical technique for bilateral vocal fold immobility (BVFI) on postoperative quality of voice and swallowing.METHODS: Prospective study in a tertiary university hospital and a private hospital. Patients with iatrogenic BVFI were included. Outcome measures were Voice Handicap Index 10, 10-item Eating Assessment Tool, flexible laryngoscopy, and success of decannulation.RESULTS: Forty patients with post thyroidectomy BVFI were initially enrolled in our study; only 12 patients returned questionnaires and kept their follow-ups and were included in the study. All patients were successfully decannulated and remain decannulated up to 24-month follow-up. There was a statistically significant improvement in quality of swallowing and no significant deterioration in quality of voice. There was no need for revision up to 24-month follow up.CONCLUSIONS: The {"}Π{"} technique using diode laser technology is a new and safe technique for BVFI with excellent long-term decannulation rates and improvement in quality of life and swallowing without significant changes in voice quality.",

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author = "Karkos, {Petros D.} and Marios Stavrakas and Ioannis Koskinas and Konstantinos Markou and Stefanos Triaridis and Jannis Constantinidis",

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AU - Stavrakas, Marios

AU - Koskinas, Ioannis

AU - Markou, Konstantinos

AU - Triaridis, Stefanos

AU - Constantinidis, Jannis

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5 Years of Diode Laser “Π” Technique for Bilateral Vocal Fold Immobility: A Technique That Improves Airway and Is Friendly to the Voice

Abstract

ASJC Scopus subject areas

Keywords

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