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VOLUME 7 , ISSUE 1 ( January-June, 2017 ) > List of Articles


Effect of Kashima's Surgery in Bilateral Abductor Vocal Cord Palsy

Citation Information : Effect of Kashima's Surgery in Bilateral Abductor Vocal Cord Palsy. Int J Phonosurg Laryngol 2017; 7 (1):10-12.

DOI: 10.5005/jp-journals-10023-1133

License: CC BY 3.0

Published Online: 01-12-2012

Copyright Statement:  Copyright © 2017; The Author(s).



Bilateral abductor palsy is treated by tracheostomy or any lateralization procedure. Kashima's surgery is a lateralization procedure introduced by Kashima in 1989.


To evaluate the effect of Kashima's surgery using subjective measures of breathing quality in patients with bilateral abductor palsy.

Materials and methods

This is a prospective study with 31 patients (3 men, 28 women) who underwent Kashima's surgery between January 2013 and December 2015 in the Laryngology department. Subjective evaluation was done by using dyspnea index score in the pre- and postoperative periods. Dyspnea index score is calculated based on answers given to a 7-point questionnaire and assessed by Likert scale, a self-assessment scale. For each point, the scores range from 0 to 3, and the maximum score is 21. Patients who already had tracheotomy were given a score of 14. This score was calculated again using the same questionnaire in the pretracheostomy scenario.


There is significant reduction in the dyspnea index score with a median reduction score of 9 and improvement of quality-of-life after Kashima's surgery.


Dyspnea index score is easy to administer. Considering the cost of treatment and high success rate of decannulation, it is obvious that Kashima's surgery is effective and affordable in bilateral abductor palsy.

How to cite this article

Issac ME. Effect of Kashima's Surgery in Bilateral Abductor Vocal Cord Palsy. Int J Phonosurg Laryngol 2017;7(1):10-12.

  1. Vocal fold paralysis. In: Goding G, editor. Bilateral vocal fold immobility. Leipzig, Germany: Springer-Verlag; 2006. p. 237-246.
  2. Report of a case of abductor paralysis with removal of one vocal cord. J Mich Med Soc 1916 Oct;15:485-486.
  3. Ventriculocordectomy, a new operation for the cure of goitrous glottis stenosis. Arch Surg 1922;4:257-274.
  4. A new and function restoring operation for bilateral abductor cord paralysis. JAMA 1939;112(9):814-823.
  5. Further observations on the King operation for bilateral abductor paralysis. Ann Otol Rhinol Laryngol 1945;54:390-408.
  6. A modification of the extralaryngeal approach to arytenoidectomy for bilateral abductor paralysis. Arch Otolaryngol 1946 Jan;43:63-65.
  7. Intralaryngeal approach for arytenoidectomy in bilateral abductor vocal cord paralysis. Arch Otolaryngol 1948 Apr;47(4):505-508.
  8. Carbon dioxide laser posterior cordectomy for treatment of bilateral vocal cord paralysis. Ann Otol Laryngol 1989 Dec;98(12 Pt 1):930-934.
  9. Aerodynamic, aoustic and functional results of posterior transverse laser cordotomy for bilateral abductor vocal fold paralysis. J Laryngol Otol 2006 Apr;120(4): 282-288.
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