Laryngeal Paralysis Surgical Option 1. Arytenoid Lateralisation Laryngoplasty (TieBack)

Question 1

What is a tie back procedure?

Answer 1

Involves making an incision into the trachea to expose the arytenoid cartilage. A non absorbable monofilament suture is used to tie back the cartilage to the wall of the trachea using a simple interrupted pattern

Question 2

Can this be bilateral or unilateral?

Answer 2

It can be both

Question 3

Pre op care

Answer 3

1. Reduce Stress
2. Pre oxygenate
3. Give prophylactic antibiotics

Question 4

Patient prep

Answer 4

Hair needs to be clipped from the PHARYNX to the CRANIAL BORDER of the SCAPULA. the surgical site is then prepped aseptically

Question 5

Patient positioning

Answer 5

Placed in lateral recumbency with the affected side up. A support bag or towel is placed under the neck to elevate it and keep it extended