Precision treatment of post pneumonectomy unilateral laryngeal paralysis due to cancer

• Published in: Future oncology (London, England) Vol. 16; no. 16s; pp. 45 - 53
• Main Authors: Cocuzza, Salvatore, Di Luca, Milena, Maniaci, Antonino, Russo, Michele, Di Mauro, Paola, Migliore, Marcello, Serra, Agostino, Spinato, Giacomo
• Format: Journal Article
• Language: English
• Published: England Future Medicine Ltd 01.06.2020
• Subjects: Aged; Deglutition - physiology; Female; Gore-Tex; Humans; Laryngoplasty - instrumentation; Laryngoplasty - methods; Laryngoscopy; Larynx - diagnostic imaging; Larynx - surgery; lung cancer; Lung Neoplasms - surgery; Male; Middle Aged; Pneumonectomy - adverse effects; Polytetrafluoroethylene; Postoperative Complications - diagnosis; Postoperative Complications - etiology; Postoperative Complications - physiopathology; Postoperative Complications - surgery; precision treatment; 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; type 1 thyroplasty; unilateral laryngeal paralysis; Vocal Cord Paralysis - diagnosis; Vocal Cord Paralysis - etiology; Vocal Cord Paralysis - physiopathology; Vocal Cord Paralysis - surgery; lung cancer; type 1 thyroplasty; Gore-Tex; precision treatment; unilateral laryngeal paralysis
• ISSN: 1479-6694; 1744-8301
• DOI: 10.2217/fon-2019-0053

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. 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. 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. 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.