Dr Yakubu Karagama (London)
45 year old female underwent an emergency admission with acute confusion episode in January 2020. This admission resulted in intubation and due to failed extubation, a tracheostomy was inserted. Later she was diagnosed with bilateral immobile vocal cords as a cause of the failure of extubation/decannulation. She is on warfarin for a subthalamic stroke. In addition, she suffers with hypertension, diabetes and end stage renal failure treated with haemodialysis three times a week. She is due a CO2 laser via a suspension microlaryngoscopyendoscopic partial medial arytenoidectomy/? Arytenoid lateralisation suture with a view to improve her airway to help facilitate tracheostomy decannulation. This may compromise the voice somewhat to gain better airway.