Possibilities of surgical correction of XXXX after thyroid gland operations.

@entity1 @entity3746 @entity8075
INTRODUCTION: Surgery of the thyroid gland remains the main cause of bilateral @entity3746 ( @entity3746 ). Ventilation problem is the main problem in such situations. There are a couple of corrective surgical procedures in the case of @entity3746 . The aim of our study was to show the possibility of widening of the glottis, and to evaluate the techniques and effects of surgical treatments due to bilateral @entity3746 resulting from thyroid gland surgery. MATERIAL AND METHODS: Five methods of surgical treatment were used: laser-assisted posterior cordectomy, according to Denis and Kashima; laser-assisted bilateral medial arytenoidectomy, as proposed by Crumley; laser-assisted posterior ventriculocordectomy, as described by @entity8075 ; laser-assisted total arytenoidectomy with posterior cordectomy, as presented by Ossoff; and laterofixation, according to Lichtenberger. The postoperative @entity1 's subjective improvement was assessed using visual analogue scale. RESULTS: Between 1998 and 2014 we operated on 270 @entity1 with bilateral @entity3746 . Paresis occurred as the result of the iatrogenic effect of thyroid gland surgery in 255 @entity1 (94.4%) vs. 15 (7.6%) from other causes. The majority of our @entity1 (77.6%) had undergone laser arytenoidectomy with posterior partial cordectomy, and in 13.7% of them Lichtenberger laterofixation had been performed. Ossoff 's surgery gives good ventilation results: successful decannulation (62.9% after first surgery; 97.6% final rate) and significant subjective ventilation improvement in 96% of @entity1 . CONCLUSIONS: Ossoff 's laser arytenoidectomy with posterior cordectomy is a safe procedure that gives acceptable ventilation improvement. @entity1 report satisfactory quality of life and the possibility of returning to active professional life. Laterofixation should be considered as an alternative for tracheotomy rather than permanent procedure. (Endokrynol Pol 2015; 66 (5): 412-416).
