Cordotomy involves the surgical ablation of the spinothalamic tract within the spinal cord to treat pain. In 1912, Spiller and Martin described an ‘open’ cordotomy where the spinal cord was directly visualized through a thoracic laminectomy. In 1963, Mullan introduced a less invasive percutaneous technique using a needle inserted between the first and second vertebra under fluoroscopic guidance...

BACKGROUND/AIMS Rehabilitation of the bilaterally paralyzed human larynx remains a complex clinical problem. Conventional treatment generally involves surgical enlargement of the compromised airway, but often with resultant dysphonia and risk of aspiration. In this retrospective study, we compared one such treatment, posterior cordotomy, with unilateral laryngeal pacing: reanimation of vocal fo...

Background: Because the immature spinal cord was nerve growth permissive, we examined glial reactions that influence regeneration of the spinal cord in a fetal rat spinal cord injury model. Methods: Three, 7, 21, and 35 days after intrauterine surgery, offsprings were killed and the thoracic and lumbar spinal cords were carefully removed from the spinal column and then cut into 10 μm longitudin...

AIM Lung cancer is the leading cause of cancer-related mortality worldwide. Pain is a common problem in these patients, yet inadequate or dissatisfactory management is prevalent. MATERIAL AND METHODS Between 1987 and 2012, 224 patients with intractable pain were treated with computerized tomography (CT)- guided cordotomy. Among them, 210 had intractable pain due to malignancie...

Introduction: Kashima operation, also known as endoscopic laser cordotomy is used for the treatment of bilateral abductor vocal cord palsy where the glottis chink is made posteriorly, sufficient enough for patient to breathe comfortably without any strider.   Materials and Methods: This Clinical Trial Was Performed On 12 Patients[1] with Bilateral Abductor Vocal Cord Paralysis. All Patients...

IMPORTANCE Voice quality-of-life (VQOL) and perceptual voice outcomes are presumed to worsen following posterior cordotomy with medial arytenoidectomy for bilateral vocal fold immobility (BVFI); however, subjective and objective voice outcomes are not well studied in this postsurgical patient population. OBJECTIVE To evaluate VQOL and perceptual voice outcomes following posterior cordotomy wi...

seven patients who had intractable pain of the pelvis and lower extremities were scheduled for cordotomy of the spinothalamic tracts after preliminary investigations. in three patients laminectomy was performed, to approach the anterior portion of the spinal cord, anil in the rest anterior cordotomy was performed with anterior disectomy under direct vision of the spinal cord. it appears that an...

OBJECTIVES/HYPOTHESIS Posterior glottic stenosis may cause more or less severe dyspnea. The popular endoscopic procedures have only a limited role in the treatment. Considering our clinical experiences, endoscopic arytenoid abduction lateropexy (EAAL) after proper mobilization of the fixed joints provides an effective option even in high-grade stenoses. STUDY DESIGN To confirm these clinical ...