Total and Partial Laser Arytenoidectomy for Bilateral Vocal Fold Paralysis

Figure 1

(a) Right arytenoid cartilage is visualized with regular laryngoscope; intubation tube is within glottis. (b) Anteriorly based triangular incision was marked with CO₂ laser spots on right arytenoid. (c) After removal of right arytenoid cartilage, cricoarytenoid joint surface is visualized; mucosa medial to arytenoid is preserved to be used as a flap. (d) Mucosa medial to arytenoid was preserved and is about to be cut right behind membranous vocal fold to be used as a flap later. (e) Posteromedially based advancement flap is sutured posterolaterally. (f) Membranous vocal fold was sutured posterolaterally; glottis is enlarged.

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