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).