Measures against problems encountered during Ejnell's technique

• Published in: OTOLOGIA FUKUOKA Vol. 49; no. 4; pp. 275 - 278
• Main Authors: HISA, Yasuo, BAMBA, Hitoshi, TADAKI, Nobuhisa, UNO, Toshiyuki, KOIKE, Shinobu, OKANO, Hiroyuki, TOYODA, Ken-ichiro, HIROTA, Ryuichi, BANDO, Hideki
• Format: Journal Article
• Language: Japanese
• Published: JIBI TO RINSHO KAI 20.07.2003
• Subjects: Ejnell法; endo-extralaryngeal needle carrier; スペーサー; 両側声帯麻痺
• ISSN: 0447-7227; 2185-1034
• DOI: 10.11334/jibi1954.49.4_275

Ejnell's technique has been our first choice in therapy of bilateral vocal cord paralysis. However, some problems have been encountered with this technique during the experience of several cases. These problems and measures taken against them have been assessed. 1. Indication in cases with ad hesion or scar must be carefully decided because Ejnell's technique alone may not give enough glottic space. 2. Position and direction of the needle must be carefully decided before puncture to minimize trauma. 3. The endo-extralaryngeal needle carrier which enables puncture from within the larynx is effective in easy decision of suitable position. 4. A spacer is effective in fixation of the pulling thread. We have found a bio-ceramic button to be suitable as a spacer since the thin profile allows secure fixation of the thread with minimal discomfort, and being nonmetal does not interfere with CT or MRI scans.