Glottic Closure Patterns: Type I Thyroplasty Versus Type I Thyroplasty With Arytenoid Adduction

Li, Anya J.; Johns, Michael M.; Jackson-Menaldi, Cristina; Dailey, Seth H.; Heman‐Ackah, Yolanda D.; Meratı, Albert L.; Rubin, Adam D.

doi:10.1016/j.jvoice.2009.11.001

Cited by 33 publications

(29 citation statements)

References 17 publications

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“…However, many studies have suggested the importance of arytenoid adduction in improving the objective or subjective outcomes of thyroplasty surgical procedures (19). Moreover, a recent study has reported no significant difference in the post-operative glottis closure for the patients who underwent only thyroplasty and those who underwent throplasty with arytenoid adduction (2). In this current study, there was no need for supplementary arytenoid adduction as most of our patients achieved complete glottal closure post-operatively and they were satisfied with their voices.…”

Section: Discussionmentioning

confidence: 99%

“…However, dysphonia and vocal efficiency are generally the main concerns of the patient and the treatment team (1). The decision for surgical or behavioral intervention for patients with vocal fold paralysis is driven by the patient's perception of a vocal handicap and the expectation on the part of the surgeon, the voice therapist and the patient that treatment will address the patient's primary concerns (2). …”

Section: Introductionmentioning

confidence: 99%

“…If voice therapy fails to restore a sufficient voice and the swallowing function, then phonosurgical intervention is recommended and particularly in cases with a wide glottal gap (3). Vocal fold augmentation, laryngeal framework surgery and laryngeal reinnervation techniques have been proposed and applied for correction of glottal insufficiency (2). Since Isshiki et al (4) introduced the basic technique of thyroplasty, laryngeal framework surgery has been frequently used as a procedure for the management of incomplete glottal closure.…”

Section: Introductionmentioning

confidence: 99%

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Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold Paralysis

Mesallam

Khalil

Malki

et al. 2011

Clin Exp Otorhinolaryngol

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ObjectivesA persistent insufficiency of glottal closure is mostly a consequence of impaired unilateral vocal fold movement. Functional surgical treatment is required because of the consequential voice, breathing and swallowing impairments. The goal of the study was to determine the functional voice outcomes after medialization thyroplasty with using autologous septal cartilage from the nose.MethodsExternal vocal fold medialization using autologous nasal septal cartilage was performed on 15 patients (6 females and 9 males; age range, 30 to 57 years). Detailed functional examinations were performed for all the patients before and after the surgery and this included perceptual voice assessment, laryngostroboscopic examination and acoustic voice analysis.ResultsAll the patients reported improvement of voice quality post-operatively. Laryngostroboscopy revealed almost complete glottal closure after surgery in the majority of patients. Acoustic and perceptual voice assessment showed significant improvement post-operatively.ConclusionMedialization thyroplasty using an autologous nasal septal cartilage implant offers good tissue tolerability and significant improvement of the subjective and objective functional voice outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold Paralysis

Mesallam

Khalil

Malki

et al. 2011

Clin Exp Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…There are no widely accepted indications for AA, and the need for AA is determined in various ways at different institutions. Some institutions will identify the need for AA preoperatively based on a large posterior glottic gap and arytenoid malrotation, whereas other institutions, including the University of California, San Francisco (UCSF) Voice and Swallowing center, intraoperatively decide to proceed with additional AA when voice results following ML are inadequate . In fact, there currently exists debate regarding whether addition of AA to ML is truly necessary …”

Section: Introductionmentioning

confidence: 99%

“…The main area of contention is whether ML‐AA truly improves clinical outcomes; one study found greater improvement in acoustic and aerodynamic measures with ML‐AA compared to ML or injection laryngoplasty, but various articles subjectively evaluating posterior glottic gap have had contradictory findings . However, there also is concern that the addition of AA increases complication rates.…”

Section: Introductionmentioning

confidence: 99%