RESUMO
The article presents long-term results of operative treatment of 128 patients with bilateral vocal cord paresis. The best functional results, for all the 128 operated cases, were obtained with the use of the method of intralaryngeal submocous chordectomy, with partial arytenoidectomy performed according to the technique of laryngeal microsurgery. However, considerably poorer results were obtained in those cases where the classic Surjan method was used, or our own modifications of this method.
Assuntos
Paralisia das Pregas Vocais/cirurgia , Prega Vocal/cirurgia , Adolescente , Adulto , Idoso , Humanos , Pessoa de Meia-Idade , Estudos Retrospectivos , Paralisia das Pregas Vocais/fisiopatologia , Prega Vocal/fisiopatologiaRESUMO
In the Otolaryngology Clinic of the Medical Academy in Lublin in the 21 year period (1971-1991) there were performed 2488 microsurgical operations of the larynx. The authors analyse their own clinical material paying particular attention to relative precancer states, early diagnosis of laryngeal cancer and an increase of the number of preinvasive cancer (cancer in situ) diagnoses. The authors postulate that indications for clinical diagnostic and therapeutic procedures should be considerably extended in diseases of the larynx. There should be used an operating microscope which will considerably shorten hospitalization period of patients and significantly contribute to an increase of the percentage of early diagnoses of cancer of the larynx.