Abstract
A case with vocal cord adhesion caused by intubation is herein reported who was able to produce sounds by both a laryngofissure and laryngo-plasy. The patient was a four-year-old boy who had been placed on a respirator for 2 months due to dyspnea which was associated with a premature delivery. After four months of intubation, extubation was difficult, and therefore a tracheostomy was done. After the tracheotomy, a patient suffered from aphonia. Therefore, he came our hospital for a medical examination in order to receive treatment for aphonia at 4 years of age. At the first medical examination, the bilateral vocal fold was fixed and glottal closure was complete. Adhesion of the bilateral vocal fold was thus suspected and endolaryngeal microsurgery was done. A cicatricial adhesion of the bilateral vocal fold was seen and a pin-hole like posterior glottis was observed un- der direct laryngoscopy. The next day, both a laryngofissure and glottalplasty were performed to prevent web formation of the anterior commissure. At 10 months after the surgery, he was able to produce vocal sounds by means of the laryngofissure.
