Arytenoidectomy
Arytenoidectomy is a specialized ENT surgery that removes one or both arytenoid cartilages of the larynx to improve airflow in patients with bilateral vocal cord paralysis.
It helps restore normal breathing without significantly affecting voice quality.
This procedure is typically considered when less invasive measures fail to relieve obstruction.
Overview And Clinical Background
Arytenoidectomy focuses on enlarging the airway by surgically removing obstructing laryngeal cartilage.
It’s indicated in patients whose vocal cords fail to open due to nerve injury or paralysis.
- Anatomy: The arytenoid cartilages control vocal cord movement during speech and breathing.
- When both are paralyzed, the airway narrows, causing breathing distress.
- Goal: To increase airway space while preserving voice and swallowing functions.
Symptoms, Signs And Presentation
Patients often present with stridor, hoarseness, and shortness of breath.
The condition can be life-threatening in severe airway compromise.
- Common symptom: Difficulty breathing or noisy breathing.
- Weak or breathy voice due to vocal cord immobility.
- Red flag: Sudden respiratory distress needing urgent airway management.
Diagnosis Methods And Investigations
Laryngoscopy And Imaging
Diagnosis relies on laryngoscopic visualization of vocal cords and laryngeal movement.
CT or MRI may be used to identify underlying nerve or structural causes.
- Laryngoscopy: Directly examines cord movement and airway size.
- Imaging: CT or MRI evaluates nerve or cartilage pathology.
- Voice and breathing assessments are performed before surgery.
Treatment Options And Surgical Techniques
Arytenoidectomy is performed under general anesthesia using an endoscopic or laser-assisted approach.
The aim is to remove part of the cartilage to widen the airway safely.
- Conservative: Voice therapy and observation for mild paralysis.
- Minimally invasive: Laser arytenoidectomy offers precision with less tissue trauma.
- Open approach used when extensive airway widening is needed.
Recovery, Risks And Prognosis
Recovery typically takes 1–2 weeks.
Voice may sound weak initially but improves over time.
Risks include aspiration, voice changes, or scarring, but outcomes are generally excellent with restored breathing.
Why Choose Us
CureU Healthcare’s ENT team specializes in advanced airway surgeries like arytenoidectomy.
With laser precision and experienced surgeons, we ensure safer procedures and faster recovery.
Conclusion
Arytenoidectomy offers lasting relief for patients with airway obstruction due to vocal cord paralysis.
CureU Healthcare delivers expert surgical care with focus on safety, function, and recovery.
