Precision treatment of post pneumonectomy unilateral laryngeal paralysis due to cancer

Future Oncol. 2020 Jun;16(16s):45-53. doi: 10.2217/fon-2019-0053. Epub 2020 Jan 8.

Abstract

Aim: The aim of this study is to assess the efficacy of external laryngeal medialization acquired through a Gore-Tex implant in a 45 patients affected by unilateral vocal fold paralysis in abduction after pneumonectomy. Method: The cohort of patients was made up of 30 male (73.1%) and 11 female patients (26.9%) with an average age of 66.7 years in a range between 46 and 78 years. Results: The results were analyzed with the objective and subjective analysis of voicing and swallowing. In 95.2% of cases, voice and swallow improvement with statistically significant evidences. Conclusion: We can conclude that Gore-Tex implantation is a simple, reproducible and minimally invasive procedure for management of selected cases of vocal fold unilateral paralysis in the abductory position.

Keywords: Gore-Tex; lung cancer; precision treatment; type 1 thyroplasty; unilateral laryngeal paralysis.

MeSH terms

  • Aged
  • Deglutition / physiology
  • Female
  • Humans
  • Laryngoplasty / instrumentation*
  • Laryngoplasty / methods
  • Laryngoscopy
  • Larynx / diagnostic imaging
  • Larynx / surgery
  • Lung Neoplasms / surgery*
  • Male
  • Middle Aged
  • Pneumonectomy / adverse effects*
  • Polytetrafluoroethylene*
  • Postoperative Complications / diagnosis
  • Postoperative Complications / etiology
  • Postoperative Complications / physiopathology
  • Postoperative Complications / surgery*
  • Recurrent Laryngeal Nerve Injuries / diagnosis
  • Recurrent Laryngeal Nerve Injuries / etiology
  • Recurrent Laryngeal Nerve Injuries / physiopathology
  • Recurrent Laryngeal Nerve Injuries / surgery*
  • Reproducibility of Results
  • Speech / physiology
  • Treatment Outcome
  • Vocal Cord Paralysis / diagnosis
  • Vocal Cord Paralysis / etiology
  • Vocal Cord Paralysis / physiopathology
  • Vocal Cord Paralysis / surgery*

Substances

  • Polytetrafluoroethylene