rdf-syntax-grammar
mods:
  schema location: http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-2.xsd
  title info:
    title: Endoscopic arytenoid lateropexy for isolated posterior glottic stenosis
  name:
    name part: Rovó László
    role:
      role term: creator
  name:
    name part: Venczel Kincső
    role:
      role term: aut
  name:
    name part: Torkos Attila
    role:
      role term: aut
  name:
    name part: Majoros Valéria
    role:
      role term: aut
  name:
    name part: Sztanó Balázs
    role:
      role term: aut
  name:
    name part: Jóri József
    role:
      role term: aut
  type of resource: text
  origin info:
    place:
      place term: hu
    date issued: 2008
    issuance: continuing
  language:
    language term: eng
  physical description:
    form: elektronikus dokumentum
    extent: 1550-1555
  abstract: OBJECTIVES/HYPOTHESIS: A posterior glottic stenosis (PGS) may limit the abduction of the arytenoid cartilages. One option for the treatment of dyspnea in lower grade stenoses is endoscopic laterofixation of the vocal cords after scar excision. In our prospective study, we assess a refined method for effective endoscopic mobilization and lateropexy of the arytenoid cartilages. STUDY DESIGN AND METHODS: Thirty-two consecutive patients with PGS underwent surgery. Endoscopically, the scar between the arytenoid cartilages was transected with a CO2 laser. The scars that had spread into the cricoarytenoid joint were transected with a right-angled endolaryngeal scythe designed for this purpose. The lateropexy of the adequately mobilized arytenoid cartilages was performed with a reinforced Lichtenberger's needle carrier instrument, with consideration of the real abduction of the cricoarytenoid joint. RESULTS: Twenty-eight patients achieved an excellent breathing ability, only effort dyspnea remained in three cases. One patient could not be decannulated due to aspiration. The early postoperative improvement in the airway function test results showed no relationship with the grade of stenoses. However, in cases of higher grade stenoses with bilateral joint damage, the later postoperative airway function results had decreased slightly. In 25 cases, phonation significantly improved after the removal of the fixing sutures. CONCLUSIONS: After proper mobilization, endoscopic arytenoid lateropexy can be considered as a minimally invasive function-preserving procedure even for severe PGS. This treatment option provides stable improvements in breathing ability and good voice quality without the need for tracheostomy.
  note: Rovó László
  subject:
    topic: Klinikai orvostan
  related item:
    title info:
      title: LARYNGOSCOPE 118 No. 9
  identifier: 0023-852X
  identifier: http://publicatio.bibl.u-szeged.hu/30189/1/TheLaryngoscope-2009-Rovo-EndoscopicArytenoidLateropexyforIsolatedPosteriorGlotticStenosis.pdf
  record info:
    record content source: SZTE Publicatio Repozitórium
    record creation date: 240424
    record change date: 20240424091321.0
    record identifier: publ30189
    language of cataloging:
      language term: hun