As an alternative to C[O.sub.2] laser, endoscopic cordectomy
using radiofrequency microdissection electrodes (ECRM) has been defined by Basterra et al.
The vocal cordectomy
(sometimes in conjunction with the ventriculectomy) is reserved for horses that maintain some abduction capability and that are not racehorses.
In our case, because tumor restrictedly held on the cord, clean surgical margins were obtained through cordectomy
, and adjuvant chemoradiotherapy was administered.
The analysis included 16 patients, 5 male (31.25%) and 11 female patients (68.75%), aged 40 to 80 years, with bilateral vocal cord paralysis following thyroid gland tumor surgery using partial arytenoidectomy with posterior cordectomy
in the period from January to April 2016.
Various surgeries are transoral laser excision, laser cordectomy
, open cordectomy
and partial laryngectomy.
Preoperative andpostoperative voice in Tis-T 1 glottic cancer treated by endoscopic cordectomy
: An additional issue for patient counseling.
Management of bilateral abductor palsy: posterior cordectomy
with partial arytenoidectomy, endoscopic approach using CO 2 laser.
Oncological and functional results of CO2 laser cordectomy
. Acta Otorhinolaryngol Ital.
(1990) described a surgical technique of cordectomy
followed by displacement of the ventricular fold.
In the last four decades, many studies have reported comparable oncological results, better preservation of laryngeal functions, less morbidity, and higher quality of life with endolaryngeal laser cordectomy
than with open surgery (1, 2, 5-7).
C[O.sub.2] laser is arguably the most appropriate tool for cordectomy
with the advantage of increased precision, better hemostasis and minimal tissue handling.
Our patient had undergone an earlier evaluation by another laryngologist, who had recommended a posterior cordectomy
for bilateral abductor paresis.