caa a22 4500 475849094 CHVBK 20180406123923.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s004050050239 doi (NATIONALLICENCE)springer-10.1007/s004050050239 Combined use of endoscopic CO2 laser excision of a marginal laryngeal tumor, radical neck dissection, and perioperative laterofixation of the opposite vocal cord [Elektronische Daten] [M. Csanády, L. Rovó, J. Jóri] We report the use of endoscopic laser excision of a marginal laryngeal tumor, radical neck dissection, and laterofixation of a paralyzed vocal cord in a 66-year-old man who had an early-stage right supraglottic endolaryngeal tumor and ipsilateral neck metastasis. He had a left vocal cord paralysis after a left pneumonectomy that was performed 5 years previously. The primary laryngeal tumor was excised by endoscopic CO2 laser resection, and a simultaneous radical neck dissection was carried out. Postoperatively, severe inspiratory dyspnea developed because of the surgical intervention on the right side causing moderate laryngeal edema and limited movement of the right vocal cord in addition to the paralyzed left side. An endolaryngeal laterofixation of the paralyzed left vocal cord was performed to provide the patient with an adequate airway instead of tracheostomy. This patient had a ¶2 years' follow-up without recurrence of tumor. In the meantime movement of the right vocal cord has returned, so that the patient's voice was socially acceptable and he has a functioning larynx. Springer-Verlag Berlin Heidelberg, 2000 Key words Endolaryngeal tumor nationallicence Neck metastasis nationallicence CO2 laser excision nationallicence Neck dissection nationallicence Vocal cord ¶laterofixation nationallicence Csanády M. Department of Otorhinolaryngology, Head and Neck Surgery, Albert Szent-Györgyi Medical University, 6725 Tisza Lajos krt. 111, Szeged, Hungary e-mail: miki@orl.szote.u_szeded.hu, Tel./Fax: +36-62-310141, HU aut Rovó L. Department of Otorhinolaryngology, Head and Neck Surgery, Albert Szent-Györgyi Medical University, 6725 Tisza Lajos krt. 111, Szeged, Hungary e-mail: miki@orl.szote.u_szeded.hu, Tel./Fax: +36-62-310141, HU aut Jóri J. Department of Otorhinolaryngology, Head and Neck Surgery, Albert Szent-Györgyi Medical University, 6725 Tisza Lajos krt. 111, Szeged, Hungary e-mail: miki@orl.szote.u_szeded.hu, Tel./Fax: +36-62-310141, HU aut https://doi.org/10.1007/s004050050239 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004050050239 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Csanády M. Department of Otorhinolaryngology, Head and Neck Surgery, Albert Szent-Györgyi Medical University, 6725 Tisza Lajos krt. 111, Szeged, Hungary e-mail: miki@orl.szote.u_szeded.hu, Tel./Fax: +36-62-310141, HU aut NATIONALLICENCE 700 1- Rovó L. Department of Otorhinolaryngology, Head and Neck Surgery, Albert Szent-Györgyi Medical University, 6725 Tisza Lajos krt. 111, Szeged, Hungary e-mail: miki@orl.szote.u_szeded.hu, Tel./Fax: +36-62-310141, HU aut NATIONALLICENCE 700 1- Jóri J. Department of Otorhinolaryngology, Head and Neck Surgery, Albert Szent-Györgyi Medical University, 6725 Tisza Lajos krt. 111, Szeged, Hungary e-mail: miki@orl.szote.u_szeded.hu, Tel./Fax: +36-62-310141, HU aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer