Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold Paralysis
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives. A 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. Methods. External 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. Results. All 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. Conclusion. Medialization thyroplasty using an autologous nasal septal cartilage implant offers good tissue tolerability and significant improvement of the subjective and objective functional voice outcomes.
Abstract
Objectives. A 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. Methods. External 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. Results. All 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. Conclusion. Medialization thyroplasty using an autologous nasal septal cartilage implant offers good tissue tolerability and significant improvement of the subjective and objective functional voice outcomes.
참고문헌 (24)
- Behrman A, "Evidence-based treatment of paralytic dysphonia: making sense of outcomes and efficacy data", Otolaryngol Clin North Am, 37(1), pp.75~104 (2004)
- Li AJ, "Glottic closure patterns: type I thyroplasty versus type I thyroplasty with arytenoid adduction", J Voice, 25(3), pp.259~264 (2011)
- Schneider B, "Functional results after external vocal fold medialization thyroplasty with the titanium vocal fold medialization implant", Laryngoscope, 113(4), pp.628~634 (2003)
- Isshiki N, "Thyroplasty as a new phonosurgical technique", Acta Otolaryngol, 78(5), pp.451~457 (1974)
- Montgomery WW, "Montgomery thyroplasty implant system", Ann Otol Rhinol Laryngol Suppl, 170, pp.1~16 (1997)
- Cummings CW, "Hydroxylapatite laryngeal implants for medialization: preliminary report", Ann Otol Rhinol Laryngol, 102(11), pp.843~851 (1993)
- Storck C, "Functional outcome of vocal fold medialization thyroplasty with a hydroxyapatite implant", Laryngoscope, 117(6), pp.1118~1122 (2007)
- Desrosiers M, "Precise vocal cord medialization using an adjustable laryngeal implant: a preliminary study", Otolaryngol Head Neck Surg, 109(6), pp.1014~1019 (1993)
- Woo P, "Laryngeal framework reconstruction with miniplates", Ann Otol Rhinol Laryngol, 99(10 Pt 1), pp.772~777 (1990)
- Giovanni A, "Clinical experience with Gore-Tex for vocal fold medialization", Laryngoscope, 109(2 Pt 1), pp.284~288 (1999)
- J Voice, "Minifenestration type I thyroplasty using an expanded polytetrafluoroethylene implant", 15(1), pp.151~157 (2001)
- Friedrich G, "Titanium vocal fold medializing implant: introducing a novel implant system for external vocal fold medialization", Ann Otol Rhinol Laryngol, 108(1), pp.79~86 (1999)
- Rosen CA, "Complications of phonosurgery: results of a national survey", Laryngoscope, 108(11 Pt 1), pp.1697~1703 (1998)
- Gardner GM, "Status of the mucosal wave post vocal cord injection versus thyroplasty", J Voice, 5(1), pp.64~73 (1991)
- Schneider B, "External vocal fold medialization in patients with recurrent nerve paralysis following cardiothoracic surgery", Eur J Cardiothorac Surg, 23(4), pp.477~483 (2003)
- Isshiki N, "Vocal mechanics as the basis for phonosurgery", Laryngoscope, 108(12), pp.1761~1766 (1998)
- Koufman JA, "Vocal fold paresis", Otolaryngol Head Neck Surg, 122(4), pp.537~541 (2000)
- Slavit DH, "Physiologic assessment of arytenoid adduction", Ann Otol Rhinol Laryngol, 101(4), pp.321~327 (1992)
- Chester MW, "Arytenoid adduction combined with medialization thyroplasty: an evidence-based review", Otolaryngol Head Neck Surg, 129(4), pp.305~310 (2003)
- Dejonckere PH, "A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques: guideline elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS)", Eur Arch Otorhinolaryngol, 258(2), pp.77~82 (2001)
- Sodersten M, "Glottal closure and perceived breathiness during phonation in normally speaking subjects", J Speech Hear Res, 33(3), pp.601~611 (1990)
- Lu FL, "Longitudinal evaluation of vocal function after thyroplasty type I in the treatment of unilateral vocal paralysis", Laryngoscope, 106(5 Pt 1), pp.573~577 (1996)
- Caballero M, "Autologous elastic cartilage for laryngoplasty: histologic evaluation in a rabbit model", Ann Otol Rhinol Laryngol, 112(8), pp.734~739 (2003)
- Lee BJ, "Histologic evaluation of intracordal autologous cartilage injection in the paralyzed canine vocal fold at two and three years", Otolaryngol Head Neck Surg, 134(4), pp.627~630 (2006)