Arytenoidectomy
Arytenoidectomy is a specialized surgical procedure performed in otolaryngology (ENT) to improve airway patency and voice function in patients with vocal cord paralysis, laryngeal obstruction, or severe airway compromise.
The arytenoid cartilages are small but critical structures in the larynx that control vocal cord movement and airway opening. When these structures become immobile, enlarged, or obstructive, they can significantly impair breathing and phonation.
Arytenoidectomy involves partial or complete removal of the arytenoid cartilage to widen the airway while preserving as much vocal function as possible. The procedure is commonly performed endoscopically using lasers or microinstruments, making it minimally invasive with faster recovery.
It is often recommended for patients with bilateral vocal cord paralysis, laryngeal stenosis, tumors, or chronic airway obstruction that does not respond to conservative treatments.
Understanding Arytenoidectomy
Clinical Overview and Purpose
Arytenoidectomy is designed to relieve airway obstruction caused by immobile or enlarged arytenoid cartilages. In many patients with bilateral vocal cord paralysis, the vocal cords remain near the midline, severely restricting airflow and causing breathing difficulty, stridor, or sleep disturbances.
By removing one arytenoid cartilage (usually unilateral), surgeons can create a wider airway without completely sacrificing voice quality. The procedure balances airway improvement with voice preservation, which is a critical goal in modern laryngeal surgery.
- Indication Commonly indicated in bilateral vocal cord paralysis, posterior glottic stenosis, laryngeal tumors, or chronic airway obstruction.
- Surgical Approach Usually performed endoscopically using CO2 laser or microsurgical instruments, reducing external incisions and recovery time.
- Unilateral vs Bilateral Most surgeons prefer unilateral arytenoidectomy to preserve voice and swallowing function while improving airflow.
- Adjunct Procedures May be combined with cordotomy or laryngeal dilation depending on the underlying pathology.
Procedure Details and Technique
How Arytenoidectomy Is Performed
Arytenoidectomy is typically performed under general anesthesia using an endoscopic approach. A laryngoscope is inserted through the mouth to visualize the larynx, and precision instruments or laser technology are used to remove part or all of the arytenoid cartilage.
The goal is to enlarge the posterior glottic airway while minimizing trauma to surrounding tissues. Surgeons carefully preserve mucosa and vocal cord structures to maintain voice quality and prevent aspiration.
- Anesthesia General anesthesia is used to ensure patient comfort and precise surgical control.
- Endoscopic Access A rigid or flexible laryngoscope provides direct visualization of the larynx without external incisions.
- Tissue Removal CO2 laser or microsurgical tools are used to remove the arytenoid cartilage with high precision.
- Hemostasis and Closure Bleeding is controlled, and mucosal flaps may be repositioned to promote optimal healing and reduce scarring.
Recovery, Outcomes, and Risks
Postoperative Expectations
Recovery after arytenoidectomy varies depending on the extent of surgery and patient health. Most patients experience significant improvement in breathing, while voice quality may change temporarily or permanently.
Hospital stay is usually short, and many patients can resume normal activities within a few weeks. Voice therapy and swallowing rehabilitation may be recommended to optimize functional outcomes.
- Breathing Improvement Most patients experience immediate or gradual relief from airway obstruction and respiratory distress.
- Voice Changes Voice may become breathy or hoarse; speech therapy can help improve vocal quality over time.
- Swallowing Issues Temporary aspiration or swallowing difficulty may occur, especially in bilateral procedures.
- Potential Risks Risks include bleeding, infection, aspiration, scar formation, and rarely, airway compromise requiring further intervention.
Why Choose CureU Healthcare
CureU Healthcare provides advanced ENT surgical care with a patient-centered approach, combining clinical expertise, modern technology, and compassionate support. Our ENT specialists are highly trained in minimally invasive laryngeal surgeries, including arytenoidectomy, ensuring optimal airway and voice outcomes.
We prioritize individualized treatment planning, thorough preoperative evaluation, and structured postoperative rehabilitation to maximize safety and recovery. Patients receive comprehensive counseling about voice expectations, airway improvement, and long-term care strategies.
With access to advanced laser technology, multidisciplinary voice and swallowing therapy teams, and modern hospital infrastructure, CureU Healthcare ensures world-class outcomes with a personalized care experience.
- Expert ENT Surgeons Highly experienced laryngologists specializing in airway and voice surgeries.
- Advanced Technology State-of-the-art laser and endoscopic surgical systems for precision and safety.
- Comprehensive Rehabilitation Integrated speech and swallowing therapy programs to enhance postoperative outcomes.
- Patient-Centered Care Personalized treatment plans, transparent counseling, and continuous follow-up for every patient.
Conclusion
Arytenoidectomy is a highly specialized ENT surgical procedure that plays a crucial role in managing airway obstruction and vocal cord immobility. By carefully removing the arytenoid cartilage, surgeons can significantly improve breathing while preserving voice and swallowing functions as much as possible.
With advancements in endoscopic and laser techniques, arytenoidectomy has become safer, more precise, and associated with faster recovery times. Proper patient selection, skilled surgical execution, and structured postoperative rehabilitation are key to achieving optimal outcomes.
Choosing an experienced healthcare provider like CureU Healthcare ensures access to expert ENT surgeons, advanced technology, and comprehensive postoperative care, empowering patients to regain breathing comfort, functional voice, and improved quality of life.
