{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T15:03:42Z","timestamp":1787497422567,"version":"build-2736575974"},"reference-count":21,"publisher":"Cambridge University Press (CUP)","issue":"9","license":[{"start":{"date-parts":[[2012,7,18]],"date-time":"2012-07-18T00:00:00Z","timestamp":1342569600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S0022215112001521_sec1\">\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We present a case series with airway compromise due to bilateral abductor vocal fold paralysis or fixation, treated with unilateral transverse cordotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215112001521_sec2\">\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Of eight consecutive patients with dyspnoea due to bilateral paramedian vocal fold immobility, seven underwent unilateral transverse cordotomy between August 2006 and April 2010 at University Hospital of South Manchester, UK. Airway and voice outcomes were compared before and after surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215112001521_sec3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All seven treated cases derived subjective airway function improvement; there was no aspiration. The eighth case had inadequate access. None of the seven treated patients required contralateral cordotomy or permanent tracheostomy. One treated case required a temporary tracheostomy; unilateral transverse cordotomy facilitated eventual decannulation. Two patients died of cancer at five and six weeks, variously. At a mean follow up of 22 months, four cases showed unchanged or slightly worse Voice Symptom Scale and Grade-Roughness-Breathiness-Asthenia-Strain scale scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0022215112001521_sec4\">\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In patients with bilateral abductor vocal fold immobility, unilateral transverse cordotomy results in improved dyspnoea with either no voice change or only slight worsening. This is a more conservative procedure than bilateral transverse cordotomy, with the potential for better preservation of voice and breath support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0022215112001521","type":"journal-article","created":{"date-parts":[[2012,7,18]],"date-time":"2012-07-18T06:10:16Z","timestamp":1342591816000},"page":"913-917","source":"Crossref","is-referenced-by-count":12,"title":["Unilateral transverse cordotomy for bilateral abductor vocal fold immobility"],"prefix":"10.1017","volume":"126","author":[{"given":"J M","family":"Bernstein","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S M","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P H","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2012,7,18]]},"reference":[{"key":"S0022215112001521_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2008.09.009"},{"key":"S0022215112001521_ref19","doi-asserted-by":"publisher","DOI":"10.1177\/000348940511401205"},{"key":"S0022215112001521_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215109990983"},{"key":"S0022215112001521_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1922.01110110003001"},{"key":"S0022215112001521_ref10","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1948.00690030527016"},{"key":"S0022215112001521_ref3","first-page":"1655","article-title":"Standardised questionnaire on respiratory symptoms: a statement prepared and approved by the MRC Committee on the Aetiology of Chronic Bronchitis (MRC breathlessness score)","volume":"2","author":"Fletcher","year":"1960","journal-title":"BMJ"},{"key":"S0022215112001521_ref21","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21003"},{"key":"S0022215112001521_ref8","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1941.00660030296010"},{"key":"S0022215112001521_ref12","first-page":"551","article-title":"On microsurgical treatment of vocal cord carcinomas with CO2-laser [in German]","volume":"58","author":"Burian","year":"1979","journal-title":"Laryngol Rhinol Otol (Stuttg)"},{"key":"S0022215112001521_ref7","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1939.02800090024005"},{"key":"S0022215112001521_ref1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949110000905"},{"key":"S0022215112001521_ref17","doi-asserted-by":"publisher","DOI":"10.1177\/000348940311200101"},{"key":"S0022215112001521_ref11","first-page":"73","article-title":"External cordectomy. About a new treatment for laryngeal restriction resulting from permanent median position of the vocal cords [in German]","volume":"20","author":"Citelli","year":"1908","journal-title":"Arch Laryngol Rhinol"},{"key":"S0022215112001521_ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-003-0707-7"},{"key":"S0022215112001521_ref14","doi-asserted-by":"publisher","DOI":"10.1177\/000348948909801203"},{"key":"S0022215112001521_ref13","volume-title":"Endoscopic Laser Surgery of the Upper Aerodigestive Tract, with Special Emphasis on Cancer Surgery","author":"Steiner","year":"2000"},{"key":"S0022215112001521_ref18","first-page":"542","article-title":"Cordotomy for bilateral cord abductal paralysis","volume":"114","author":"Wang","year":"2001","journal-title":"Chin Med J (Engl)"},{"key":"S0022215112001521_ref16","doi-asserted-by":"publisher","DOI":"10.1177\/000348949610500604"},{"key":"S0022215112001521_ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.0307-7772.2004.00775.x"},{"key":"S0022215112001521_ref15","doi-asserted-by":"publisher","DOI":"10.1177\/000348949410301105"},{"key":"S0022215112001521_ref9","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1946.00680050073011"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215112001521","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,24]],"date-time":"2019-04-24T19:35:44Z","timestamp":1556134544000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215112001521\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,7,18]]},"references-count":21,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["S0022215112001521"],"URL":"https:\/\/doi.org\/10.1017\/s0022215112001521","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,7,18]]}}}