There are a number of treatment regimens for bilateral laryngeal paralysis, ranging from tracheostomy to external microscopic approaches. None has become the standard because of their unpredictable results and/or the need for an external approach. Recently, the use of micro-trapdoor flaps and suturing done via a laryngoscope has shown a possibility of correcting the airway problem, allowing a predictable result, with a completely endoscopic approach. This paper presents our experience with a group of 10 patients who had at least one treatment attempt that failed and were treated by endoscopic laryngoplasty. Eight have been decannulated.
DedoHHSooyCD. Endoscopic laser repair of posterior glottic, subglottic and tracheal stenosis by division or micro-trapdoor flap. Laryngoscope1984; 94: 445–50.
10.
DuncavageJAPiazzaLSOssoffRHToohillRJ. The microtrapdoor technique for the management of laryngeal stenosis. Laryngoscope1987; 97: 825–8.
11.
WhitedRE. Posterior commissure stenosis post longterm intubation. Laryngoscope1983; 93: 1314–8.
12.
HiranoMKuritaSKiyokawaKSatoK. Posterior glottis. Morphologic study in excised human larynges. Ann Otol Rhinol Laryngol1986; 95: 576–81.
13.
FinkB. Laryngeal physiology. New York, NY: Raven Press, 1975.
14.
FinkBDemarestR. Laryngeal biomechanics. Cambridge, Mass: Harvard University Press, 1978.
15.
ThomasGKStevensMH. Stenting in experimental laryngeal injuries. Arch Otolaryngol1975; 101: 217–21.
