Unilateral and Bilateral Laryngeal Pacing for Bilateral Vocal Fold Paralysis

• DOI: 10.1007/s40136-020-00313-7
• Publication Date: 2020-09-03T14:03:58Z
• Authors: Maria E. Powell; David L. Zealear; Yike Li; C. Gaelyn Garrett; Kate Von Wahlde; James Netterville
• Keywords: Cordotomy; Cosmesis; Vocal fold paralysis

Present the state-of-the-art overview of laryngeal pacing for treatment bilateral vocal fold paralysis. A minimally invasive unilateral system and a fully implantable are currently in clinical trials. The relative advantages disadvantages each discussed.Research functional electrical stimulation reanimation posterior cricoarytenoid muscle has successfully translated from animal models to human trials pacing. Current findings suggest humans significantly improves ventilation but only marginally better than cordotomy. Bilateral canines increases glottal opening greater 2-fold over restores exercise tolerance normal.Unilateral can be considered breathing assist device may not appropriate active individuals. preferable patients who wish engage strenuous exercise. Minimally systems ideal prefer less implantation concerned with cosmesis. Fully offer electrode redundancy stability, resulting that is robust against migration or damage.