Laryngology : Bilateral Abductor Paralysis скачать в хорошем качестве

Laryngology : Bilateral Abductor Paralysis

Disclaimer : Video is for Educational or Medical Training Purpose & may contain sensitive content. Viewer discretion is advised. WARNING: Graphic Content. Viewer discretion is advised. This video show endoscopy of throat & larynx in old lady with Bilateral Abductor Paralysis . She presented with uncuff tracheotomy in situ , wants decannulation of tracheotomy tube & good voice . She is a known case of operated Ca thyroid , Brain tumor with right side paralysis & hypothyroidism . Video laryngoscopy show both the cords lie in median or paramedian position, the airway is inadequate causing difficulty in breathing and stridor but the voice is good. Treatment is between a permanent tracheostomy with a speaking valve or a surgical procedure to lateralise the cord. The permanent tracheostomy with speaking hole relieves stridor, preserves good voice but has the disadvantage of a tracheostomy hole in the neck. The Lateralisation of the cord relieves airway obstruction but at the expense of a good voice; however there is no tracheostomy hole in the neck. Thanks . Have a GOOD Day ....