A new approach in the treatment of chronic bilateral paralytic stenosis of the larynx: A review

Abstract

The issues of surgical treatment of bilateral paralytic stenosis of the larynx do not lose their relevance today, since the proportion of patients suffering from this pathology is steadily increasing. Neurogenic disorders of laryngeal motor function most often occur due to previous surgical intervention on the thyroid gland and upper mediastinum. The predominant complaints of such patients are dyspnea, decreased tolerance to physical exertion and impaired lantern function. Thus, the main objectives in the treatment of chronic laryngeal stenosis are: restoration of the lumen of the vocal slit to ensure adequate respiratory function, prevention of respiratory failure and preservation of socially significant voice. The use of semiconductor lasers for laryngoplasty in bilateral paralytic stenoses of the larynx is a very common technique, however, there are no data in the literature on the use of semiconductor laser energy with a wave length of 445 nm for this surgical intervention. In their work the authors tried to show the advantages of the surgical treatment of bilateral paralytic laryngeal stenosis using 445 nm semiconductor laser, developed at the Saint Petersburg Research Institute of Ear, Throat, Nose and Speech, which allowed to reduce rehabilitation period of respiratory function and preserve socially significant voice, using a clinical example.