Posterior cordectomy in the treatment of bilateral paralysis of the vocal cords. Should be the age a restriction in your surgery?

Abstract

Introduction and objective: Bilateral vocal cord paralysis is a rare but potentially lethal condition. The objective of this retrospective study is to evaluate the results obtained with the technique of endoscopic CO2 laser posterior cordectomy and comparatively assess whether there is a higher risk of complications in patients older than 70 years. Methods: 18 consecutive patients classified in group A (under 70 years, 10 patients) and group B (over 70 years, 8 patients). Results: Good respiratory outcome in 94% of patients with a revision rate of 6% was obtained. The incidence of dysphonia and rehabilitation swallowing maneuvers was higher in the group B. Conclusions: Posterior cordectomy is a good treatment in bilateral laryngeal paralysis patients. We have to keep in mind those patients over 70 years must be evaluated in a specific way because they have a greater risk of aspiration.