[Therapeutic approach to laryngeal nerve paralysis].

The numerous surgical procedures proposed for the treatment of bilateral recurrent laryngeal nerve paralysis, since the operation first described by Rethi, are reviewed. Because of the principle involved and the simplicity of Loboryles operation it is the preferred method, and the technique employed is described in detail. Results have been satisfactory in a series of patients treated by this procedure and its further development is justified.

[Reconstructive laryngectomy (author's transl)].

The technique, indications, and results of the surgical operation known as reconstructive laryngectomy are described. The intervention involves the performance of a supracricoid subtotal laryngectomy with conservation of an arytenoid, followed by a cricohyoidopexy. This allows re-establishment of the triple function of the aerodigestive junction : phonatory, respiratory, and deglutition; a permanent tracheotomy thus not being necessary.

[Bilateral recurrent paralysis and his treatment (author's transl)].

The authors give here their conception of physiology of nerves of larynx. They think that among the bilaterals paralysies of vocal cords, the paralysie of dilators is the most frequent one. They offer a technical surgery which consist of linking the muscle thyro-hyoïdien to the vocal cord on both sides.