Longer-term follow-up
Successful longer-term management of this type of injury is dependent on
high quality MDT input. Following arytenoidectomy flow parameters
improved but were still attenuated to 66% of predicted values. SLT
therefore provided tailored breathing techniques to maximise laryngeal
aperture during exercise. Deficits in voice and respiratory function may
only develop when exercise intensity increases so it is important that
specialist therapy is integrated with physical training sessions.
Our patient began training within six weeks of surgery and this speed of
return to sport is similar to the figures seen in a case series of
patients that had surgery for EILO(9).