Abstract:The results indicate that medialization laryngoplasty with strap muscle transposition is a prosthesis-free, safe, and effective technique for correcting SGI caused by vocal fold atrophy.
“…Voice assessments and laryngostroboscopic examination were performed as previously reported 7–11. Patients were examined 1 or 2 weeks preoperatively and again at approximately 1, 3, 6, 12, 18, 24, 36, 48, and 60 months postoperatively.…”
After long-term follow-up of 31 months on average, approximately 90% of the ASD patients obtained moderate to marked improvement of vocal performance after transoral laser surgery. The long-lasting outcome is encouraging.
“…Voice assessments and laryngostroboscopic examination were performed as previously reported 7–11. Patients were examined 1 or 2 weeks preoperatively and again at approximately 1, 3, 6, 12, 18, 24, 36, 48, and 60 months postoperatively.…”
After long-term follow-up of 31 months on average, approximately 90% of the ASD patients obtained moderate to marked improvement of vocal performance after transoral laser surgery. The long-lasting outcome is encouraging.
“…This is compounded by glottic insufficiency due to volume loss from the introverted lesion . For the latter aspect, some form of augmentation or medialization is readily embraced by most authors . Direct instrumentation of the sulcus is typically viewed with more reservation.…”
“…Typical voice complaints of elderly patients include change in voice quality, discomfort with talking, and increased effort . To date, different behavioral and surgical interventions have tried to address voice complaints related to vocal fold atrophy with variable success . The exact cause(s) for this inconsistent response to treatment remains unclear, resulting in some uncertainty regarding expected outcomes following treatment.…”
This is the first study to provide comparative voice outcomes using both trial VFI and long-term augmentation for vocal fold atrophy. Additional critical evaluation of the value of trial VFI for vocal fold atrophy patients is suggested.
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