A New Modified Technique of Widening of the Anterior Glottis for Bilateral Recurrent Laryngeal Nerve Paralysis

Two patients with midline fixation of the bilateral vocal cords were operated on by a new, modified technique of widening the anterior glottis. This method aims at closing the fistula using the tracheal or septal cartilagomucosal graft following widening of the anterior commissure of the glottis in one stage.The most important problem is deciding how wide the glottal aperture should be and choosing a graft from the trachea or nasal septum of an appropriate size. Postoperatively, the dyspneic condition of the patients was relieved successfully and their voices retained intelligible quality.Laryngoplastic surgery for dyspneic conditions and its functional results were discussed briefly.