Office-based Blue Laser Posterior Cordectomy in Patients with Bilateral Vocal Fold Paralysis: A Novel Approach

Abdul-Latif Hamdan; Marwan Rizk; Jessica Aoun; Marc Mourad; Jad Hosri; Robert T Sataloff

doi:10.1016/j.jvoice.2023.09.002

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Office-based Blue Laser Posterior Cordectomy in Patients with Bilateral Vocal Fold Paralysis: A Novel Approach

Journal article

Peer reviewed

Office-based Blue Laser Posterior Cordectomy in Patients with Bilateral Vocal Fold Paralysis: A Novel Approach

Abdul-Latif Hamdan, Marwan Rizk, Jessica Aoun, Marc Mourad, Jad Hosri and Robert T Sataloff

Journal of voice, Vol.40(1), pp.67-72

01/2026

DOI: 10.1016/j.jvoice.2023.09.002

PMID: 39492033

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Abstract

Bilateral vocal fold paralysis can be a disabling condition with adverse impact on quality of life. Various glottal widening procedures to secure the airway have been described. These include total or partial arytenoidectomy with or without reinnervation, cordotomy, arytenoidopexy, and others. A review of the literature shows one case of office-based partial arytenoidectomy that was performed successfully using the thulium laser but no other in-office procedures for the treatment of bilateral vocal fold paralysis. Retrospective case series with literature review This report presents two patients with bilateral vocal fold paralysis who underwent office-based blue laser posterior cordectomy. The blue laser is a new photoangiolytic laser (wavelength of 445 nm) with good hemostatic and cutting properties. The surgical technique of office-based posterior cordectomy using the blue laser is described with a review of the literature on arytenoidectomy/posterior cordectomy. Both procedures were well tolerated and patients showed marked improvement in breathing manifested by an increase in glottal gap on laryngeal examination with no worsening in voice quality. Long-term follow-up showed no interval changes in both cases. The authors of this manuscript advocate office-based posterior cordectomy using the laser in patients who are at high risk for general anesthesia or who refuse to go to the operating room, and potentially for other patients. The data that support the findings of this study are available from the corresponding author upon reasonable request.

blue laser

cordectomy

office-based laser surgery

Vocal fold paralysis

Details

Title: Subtitle: Office-based Blue Laser Posterior Cordectomy in Patients with Bilateral Vocal Fold Paralysis: A Novel Approach
Creators: Abdul-Latif Hamdan - American University of Beirut Medical Center
Marwan Rizk - American University of Beirut Medical Center
Jessica Aoun - American University of Beirut Medical Center
Marc Mourad - American University of Beirut Medical Center
Jad Hosri - American University of Beirut Medical Center
Robert T Sataloff - Drexel University
Resource Type: Journal article
Publication Details: Journal of voice, Vol.40(1), pp.67-72
DOI: 10.1016/j.jvoice.2023.09.002
PMID: 39492033
NLM abbreviation: J Voice
ISSN: 0892-1997
eISSN: 1873-4588
Publisher: Elsevier Inc
Language: English
Electronic publication date: 10/27/2023
Date published: 01/2026
Academic Unit: Anesthesia
Record Identifier: 9984755385402771

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