Evaluation of open approach and injection laryngoplasty in revision thyroplasty procedures

Brian T Andrews; Douglas J Van Daele; Michael P Karnell; Timothy M McCulloch; Scott M Graham; Henry T Hoffman

doi:10.1016/j.otohns.2007.10.016

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Evaluation of open approach and injection laryngoplasty in revision thyroplasty procedures

Journal article

Peer reviewed

Evaluation of open approach and injection laryngoplasty in revision thyroplasty procedures

Brian T Andrews, Douglas J Van Daele, Michael P Karnell, Timothy M McCulloch, Scott M Graham and Henry T Hoffman

Otolaryngology--head and neck surgery, Vol.138(2), pp.226-232

02/2008

DOI: 10.1016/j.otohns.2007.10.016

PMID: 18241721

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Abstract

Vocal outcomes after medialization laryngoplasty are variable and may change over time. A revision procedure via open approach or an injection laryngoplasty may be necessary to improve vocal outcomes. A retrospective chart review was performed. Twenty-nine subjects were identified and stratified into group 1A (n = 9) if the allograft was repositioned/replaced, group 1B (n = 4) if the allograft was removed, and group 2 (n = 16) if an injection laryngoplasty was performed. Statistically significant differences were found between all data prerevision to postrevision (P < or = 0.05) for group 1A and group 2 when multiple paired-sample t tests were calculated for patient-reported voice severity ratings and voice impact ratings as well as clinician-reported voice ratings of grade, roughness, and breathiness. Results of group 2 were often temporary, with 10 of 16 (62.5%) subjects receiving multiple injections. Both open revision laryngoplasty and injection laryngoplasty are successful at providing improved vocal outcomes. Results are often temporary after injection laryngoplasty and often require multiple procedures.

Reoperation

Follow-Up Studies

Humans

Middle Aged

Reconstructive Surgical Procedures - methods

Prostheses and Implants

Male

Treatment Outcome

Injections

Thyroid Cartilage - surgery

Durapatite - administration & dosage

Adolescent

Vocal Cord Paralysis - surgery

Aged, 80 and over

Adult

Female

Larynx - surgery

Vocal Cord Paralysis - physiopathology

Aged

Biocompatible Materials - administration & dosage

Prosthesis Implantation - methods

Retrospective Studies

Voice Quality

Child

Details

Title: Subtitle: Evaluation of open approach and injection laryngoplasty in revision thyroplasty procedures
Creators: Brian T Andrews - Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA
Douglas J Van Daele
Michael P Karnell
Timothy M McCulloch
Scott M Graham
Henry T Hoffman
Resource Type: Journal article
Publication Details: Otolaryngology--head and neck surgery, Vol.138(2), pp.226-232
DOI: 10.1016/j.otohns.2007.10.016
PMID: 18241721
NLM abbreviation: Otolaryngol Head Neck Surg
ISSN: 0194-5998
eISSN: 1097-6817
Publisher: England
Language: English
Date published: 02/2008
Academic Unit: Communication Sciences and Disorders; Radiation Oncology; Craniofacial Anomalies Research Center; Neurosurgery; Medicine Administration; Otolaryngology
Record Identifier: 9984006420202771

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