Posterior cordomtomy for bilateral vocal cord paralysis: CO laser vs. microsurgery with cold instruments

Stelian Lupescu, Alin H. Marin, V. Draganescu, Nicolae Balica & Stan Cotulbea
Idea: The restoration of the airways after bilateral vocal cord paralysis is still a challenge for the otolaryngologist. Techniques including endoscopic approaches (Kashima's technique) have been developed for management of adduction bilateral vocal cord paralysis. Method: From 1998 to 2011, 20 patients were endoscopically treated by CO2 Laser (15 patients) and by cold microsurgical instruments (5 patients) in our ENT Department. A better and simpler procedure is cordotomy using the Kashima technique. This involves separating...