Kashima Operation: an endoscopic phonosurgery by LASER for bilateral vocal cord palsy

M. Alamgir Chowdhury and Farid Hossain Chowdhury and Khaled Shahabuddin and A. B. M. Tofazzal Hossain and Shaila Kabir (2021) Kashima Operation: an endoscopic phonosurgery by LASER for bilateral vocal cord palsy. Borneo Journal of Medical Sciences, 15. ISSN 1985-1758 (P-ISSN) , 2710-7353 (E-ISSN)

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Abstract

Complete or partial restriction of the vocal cords usually occurs due to cancer, neurologic causes or mechanical causes like huge neck mass, trauma to the neck, viral infection, and sometimes iatrogenic during surgery. Bilateral vocal cord palsy is a severe condition that can lead to significant problems in breathing, speaking, and swallowing. If any patient presents with stridor, it requires urgent surgical airway management followed by specific treatment. A case of viral bilateral abductor vocal cord palsy in a 41-year-old female is reported here. The patient presented with stridor, and immediate tracheostomy was done. The stridor developed first 3 months earlier followed by cold and fever for a week. The stridor worsened gradually and leads to a state of commencing immediate tracheostomy. There was no history of trauma to the neck or any neck surgery. All basic laboratory blood test was within the normal limit. The laryngoscopic examination showed both vocal cords were immobile and almost median position with a small gap at the posterior commissure. Chest and neck plain X-ray along with computed tomography scan of neck was normal which ruled out the other causes of bilateral vocal cord palsy. The patient subsequently underwent successful left posterior cordectomy by laser, and decannulation of tracheostomy was done, known as Kashima operation.

Item Type:	Article
Keyword:	Bilateral Vocal Cord Palsy , BVCP , Bilateral abductor vocal cord palsy , Posterior cordectomy , Laser cordectomy , Kashima operation
Subjects:	R Medicine > RF Otorhinolaryngology > RF1-547 Otorhinolaryngology > RF460-547 Laryngology. Diseases of the throat
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	SAFRUDIN BIN DARUN -
Date Deposited:	20 Sep 2021 15:46
Last Modified:	20 Sep 2021 15:46
URI:	https://eprints.ums.edu.my/id/eprint/30447

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