Cordotomy by Coblation Viable for Bilateral Vocal Fold Immobility

Share this content:
Cordotomy by Coblation Viable for Bilateral Vocal Fold Immobility
Cordotomy by Coblation Viable for Bilateral Vocal Fold Immobility

THURSDAY, Dec. 14, 2017 (HealthDay News) -- Cordotomy by coblation is safe and efficient for treating bilateral vocal fold immobility (BVFI), according to a study published online Dec. 14 in JAMA Otolaryngology-Head & Neck Surgery.

Michael S. Benninger, M.D., from the Cleveland Clinic, and colleagues examined clinical, operative, and health status data for 19 patients with BVFI who underwent cordotomy with coblation. The researchers found that BVFI etiology included thyroidectomy and prolonged intubation in eight (42 percent) and seven patients (37 percent), respectively.

For BVFI without stenosis (15 patients), the mean length of surgery was 17 minutes; mean operating room (OR) time was 63 minutes compared with 88 scheduled OR minutes (effect size, 25 minutes). Four of these patients developed granulation tissue postoperatively during follow-up. Patient-reported shortness of breath improved significantly following surgery, with 71 percent of 14 patients with some level of breathing difficulty before surgery experiencing improvement in the breathing. There was significant improvement in stridor, with improvement after surgery for 83 percent of 12 patients with some level of preoperative stridor. There was a trend toward improvement in quality of life as measured by the EuroQol 5-Dimensions postoperatively. Significant improvements were seen in the functional, emotional, and total Voice Handicap Index.

"Coblation was associated with significant reduction in OR time compared with scheduled time, and patients experienced significant improvement in shortness of breath, stridor, and vocal cord function," the authors write.

One author disclosed financial ties to the medical device industry.

Abstract/Full Text

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Characteristics of Severe Hypoglycemia Identified in T2DM

Characteristics of Severe Hypoglycemia Identified in T2DM

Increased odds of severe hypoglycemia with history of non-severe hypoglycemia, HbA1c <6 percent

Hand-Holding, Stress Ball Don't Cut Anxiety in Skin CA Removal

Hand-Holding, Stress Ball Don't Cut Anxiety in Skin ...

No incremental anxiety reduction versus control in patients during excisional skin cancer surgery

L-Glutamine Reduces Number of Pain Crises in Sickle Cell Disease

<small>L</small>-Glutamine Reduces Number of Pain Crises in Sickle ...

Significantly fewer pain crises, hospitalizations compared with those receiving placebo

is free, fast, and customized just for you!




Already a member?

Sign In Now »