Incidence of perioperative airway complications in patients with previous medialization thyroplasty

Lin, Harrison W.; Bhattacharyya, Neil

doi:10.1002/lary.20156

Cited by 9 publications

(3 citation statements)

References 19 publications

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“…So far, two of our patients have undergone such procedures using 6.0 endotracheal tubes without any adverse events. Lin reported 6.8% perioperative airway complications (N = 74) [24]. For this reason we suggest at least one-night hospitalisation after surgery.…”

Section: Discussionmentioning

confidence: 94%

Medialization thyroplasty: vocal outcome of silicone and titanium implant

Ardenne

Vanderwegen

Nuffelen

et al. 2010

Eur Arch Otorhinolaryngol

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Unilateral vocal fold paralysis can result in incomplete glottic closure, compromising the vocal efficiency and increasing the risk of aspiration. The glottic gap can be reduced by medialization thyroplasty. Both silicone and titanium implants have been described to be efficient in the improvement of the vocal outcome. The aim of this study was to assess the vocal outcome after medialization thyroplasty using silicone and titanium implants and to compare the results of the two implanted materials using prospective sequential cohort study. 24 patients underwent medialization thyroplasty, performed under local anaesthesia with intravenous sedation: 10 patients were included in the silicone cohort and 14 in the titanium cohort. All patients underwent vocal assessment preoperatively and postoperatively, using the Voice Handicap Index, the GRBASI scale, maximum phonation time and the Dysphonia Severity Index. Postoperative analysis of the entire population showed statistically significant improvement for the Voice Handicap Index, maximum phonation time, Dysphonia Severity Index and the parameters G, B and A of the GRBASI scale (83% follow up). Subgroup analysis showed a statistically significant greater improvement of Voice Handicap Index of the titanium cohort compared with the silicone cohort. Improvement of maximum phonation time, Dysphonia Severity Index and GRBASI scale of the titanium cohort was greater than improvement of the silicone cohort, but this difference was not statistically significant. Both silicone and titanium medialization implants showed improvement of vocal outcome, the results of the titanium implant being superior.

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Section: Discussionmentioning

confidence: 94%

Medialization thyroplasty: vocal outcome of silicone and titanium implant

Ardenne

Vanderwegen

Nuffelen

et al. 2010

Eur Arch Otorhinolaryngol

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“…In contrast to thyroplasty, there is no risk of implant extrusion or complications if endotracheal intubation is required at a later date. 18 The other limitations of all of these techniques include cost, which varies according to the local health-care system, availability of the implants or biomaterials, and the surgeons' technical expertise.…”

Section: Resultsmentioning

confidence: 99%

Long-Term Acoustic Comparison of Thyroplasty versus Autologous Fat Injection

Hartl¹,

Hans²,

Crevier‐Buchman³

et al. 2009

Ann Otol Rhinol Laryngol

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“…Dyspnea was always successfully treated with intravenous steroids (prednisolone 1 mg/kg) given for 5 days without the need for tracheotomy. However, care must be taken if patients with ULNP subsequently undergo surgical procedures under general anesthesia, 21,22 as a report 23 based on a large series of patients noted a significantly increased risk of airway complications following ML, and a case 20 of displacement of a Montgomery implant following endotracheal intubation has also been documented.…”

Section: Discussionmentioning

confidence: 95%