CPT® Code 31400

An arytenoidectomy or arytenoidopexy is a surgical procedure that involves the external approach to the arytenoid cartilage, which is a critical component of the larynx. The arytenoid cartilage plays a significant role in the function of the vocal cords and the airway. Arytenoidectomy specifically refers to the surgical removal or laser vaporization of the arytenoid cartilage, while arytenoidopexy involves the fixation or suspension of this cartilage. These procedures are primarily indicated for patients suffering from bilateral vocal cord paralysis, a condition that can severely compromise the airway and hinder normal breathing. By performing these surgeries, the surgeon aims to enhance airway patency and improve respiratory function. The procedure begins with a horizontal incision made over the larynx, allowing access to the underlying structures. The careful dissection and manipulation of the laryngeal tissues are essential to successfully execute either the excision or fixation of the arytenoid cartilage, ultimately leading to improved airway management for the patient.