The modern aspects of the treatment of the patients presenting with bilateral laryngeal paralysis depending on the duration of the disease

Kirasirova E.A.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii Departamenta zdravookhraneniia Moskvy

Piminidi O.K.

Department of Reconstructive Surgery of Hollow organs of the Neck, State Organization of Health «L.I. Sverzhevskiy Research Institute of Clinical Otorhinolaryngology», Moscow Health Department, Moscow, Russia, 117152

Kuzina E.A.

Department of Otolaryngology, Faculty of Therapeutics, State educational Institution of higher professional education «N.I. Pirogov Russian National Research Medical University», Ministry of Health of the Russian Federation, Moscow, Russia, 117997

Lafutkina N.V.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii im. L.I. Sverzhevskogo Departamenta zdravookhraneniia Moskvy, Moskva, Rossiia, 117152

Mamedov R.F.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii im. L.I. Sverzhevskogo Departamenta zdravookhraneniia Moskvy, Moskva, Rossiia, 117152

Rezakov R.A.

Kafedra otorinolaringologii lechebnogo fakul'teta Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova Minzdrava Rossii, Moskva, Rossiia, 117997

The modern aspects of the treatment of the patients presenting with bilateral laryngeal paralysis depending on the duration of the disease

Authors:

Kirasirova E.A., Piminidi O.K., Kuzina E.A., Lafutkina N.V., Mamedov R.F., Rezakov R.A.

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Journal: Russian Bulletin of Otorhinolaryngology. 2017;82(5): 4‑8

DOI: 10.17116/otorino20178254-8

Downloaded: 29

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To cite this article:

Kirasirova EA, Piminidi OK, Kuzina EA, Lafutkina NV, Mamedov RF, Rezakov RA. The modern aspects of the treatment of the patients presenting with bilateral laryngeal paralysis depending on the duration of the disease. Russian Bulletin of Otorhinolaryngology. 2017;82(5):4‑8. (In Russ.)
https://doi.org/10.17116/otorino20178254-8

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)

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Aim. the objective of the present study was to increase the functional effectiveness of the combined treatment of the patients presenting with bilateral laryngeal paralysis on the basis of the development of a medical diagnostic algorithm taking into consideration the peculiar etiological and pathogenic features of the clinical course of the disease. The study included 102 patients suffering from bilateral paralysis of the larynx. The duration of the disease varied from 2 months to 26 years. All the patients underwent the preoperative preparation followed by laryngoplasty surgery for unilateral myoaritenoidchordectomy. The patients who had no tracheostoma at admittance were treated by simultaneous tracheostomy and laryngoplasty. The study made it possible to identify the factors that exerted the adverse influence on the outcome of the operation, such as prolonged cannulation, a protracted course of the disease (for more than 1 year), longer periods of recovery of the external respiration function characteristics, increased duration of the hospitalization and rehabilitation periods that lasted over more than one year, and a rise in the number of the patients carrying the cannulas. Taken together, the proposed algorithm for the examination and treatment of the patients presenting with bilateral laryngeal paralysis, the early diagnostics of the disease, and the differential approach to its treatment made it possible to reduce the frequency of the immediate and long-term postoperative complication and decrease the duration of hospitalization and rehabilitation of the patients.

Keywords:

hospitalization and rehabilitation periods

tracheostoma

laryngoplasty

myoaritenoidchordectomy

external respiration function

Authors:

Kirasirova E.A.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii Departamenta zdravookhraneniia Moskvy

Piminidi O.K.

Kuzina E.A.

Lafutkina N.V.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii im. L.I. Sverzhevskogo Departamenta zdravookhraneniia Moskvy, Moskva, Rossiia, 117152

Mamedov R.F.

Moskovskiĭ nauchno-prakticheskiĭ tsentr otorinolaringologii im. L.I. Sverzhevskogo Departamenta zdravookhraneniia Moskvy, Moskva, Rossiia, 117152

Rezakov R.A.

Kafedra otorinolaringologii lechebnogo fakul'teta Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova Minzdrava Rossii, Moskva, Rossiia, 117997

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