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Valley ZA, Karp A, Garber D. Safety and Adverse Events of Medialization Thyroplasty: A Systematic Review. Laryngoscope 2024; 134:1994-2004. [PMID: 37916789 DOI: 10.1002/lary.31141] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Revised: 10/09/2023] [Accepted: 10/11/2023] [Indexed: 11/03/2023]
Abstract
INTRODUCTION Unilateral vocal fold paralysis or paresis (UVFP) is a condition that causes significant morbidity due to dysphonia, dysphagia, and aspiration. Type I medialization thyroplasty (MT) is the current mainstay surgical treatment for UVFP. Though widely considered a safe procedure, concerns exist over possible airway complications which can lead to overnight observation. Herein, we report a systematic review of the safety and adverse events of MT to aid in determining the safety of same-day discharge. DATA SOURCES PubMed and Embase databases. REVIEW METHODS Our search identified studies investigating complications associated with MT. Articles were selected if published between January 1, 1989 and March 15, 2023. Abstracts were screened, and data were extracted from included studies. Only Type I MT procedures were included; case reports were excluded. Participant characteristics, intervention details, results, and adverse events were extracted. RESULTS The database query identified 751 abstracts, of which 46 studies met eligibility criteria. A total of 2426 patients underwent MT. The most common implant was Silastic (n = 898, 37.0%) followed by Gore-Tex (n = 664, 27.4%). There were 254 (10.5%) total complications reported; 110 (4.5%) were considered major. The most common complication was nonobstructive hematoma (n = 59, 2.4%) followed by hemorrhage (n = 36, 1.5%). Implant extrusion (n = 24, 0.99%) or displacement (n = 15, 0.62%) occurred mostly in Silastic and Gore-Tex implants. Same-day discharge occurred with 429 patients and was not associated with adverse events. CONCLUSIONS UVFP can be reliably improved by MT with a low risk of complications. Outpatient MT is a promising treatment with a favorable safety profile. Laryngoscope, 134:1994-2004, 2024.
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Affiliation(s)
- Zachary A Valley
- School of Medicine, New York Medical College, Valhalla, New York, USA
| | - Avrohom Karp
- School of Medicine, New York Medical College, Valhalla, New York, USA
| | - David Garber
- Department of Otolaryngology-Head and Neck Surgery, Westchester Medical Center, Valhalla, New York, USA
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Nishimoto K, Yumoto E, Sanuki T, Kodama N, Kuraoka K, Miyamoto T, Miyamaru S, Orita Y. Effect of Aging on Vocal Outcomes After Laryngeal Reinnervation Combined With Arytenoid Adduction. J Voice 2023:S0892-1997(23)00282-5. [PMID: 37833111 DOI: 10.1016/j.jvoice.2023.09.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2023] [Revised: 09/06/2023] [Accepted: 09/07/2023] [Indexed: 10/15/2023]
Abstract
OBJECTIVE To evaluate the impact of aging on vocal function following laryngeal reinnervation combined with arytenoid adduction (AA) in the treatment of paralytic dysphonia. METHODS Sixty-eight patients with unilateral vocal fold paralysis who underwent refined nerve-muscle pedicle flap (NMP) implantation and AA were classified into four groups according to age: under 50 years (-50), in their 50s, 60s, and 70 years and older (70+). These groups consisted of 15, 14, 22, and 17 patients, respectively. Their vocal function was followed periodically for 24 months after surgery. RESULTS Vocal function in all groups showed significant improvement after surgery. Significant improvements in vocal function were observed during a 24-month follow-up period: maximum phonation time in the -50 and 50 seconds groups; pitch range and voice handicap index-10 in the -50, 50s, and 60s groups; "Grade" in the -50, 50s, and 70+ groups; and "Breathiness" and voice-related quality of life in all groups. There were no significant differences in vocal function among the four groups, except for pitch range, at the 24-month postoperative assessment. CONCLUSIONS Although the younger groups tended to exhibit better vocal function compared to the older groups 24 months postoperatively, the refined NMP+AA proved effective in the treatment of breathy dysphonia resulting from unilateral vocal fold paralysis, not only in the younger population but also in the older population.
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Affiliation(s)
- Kohei Nishimoto
- Department of Otolaryngology-Head and Neck Surgery, Kumamoto University Graduate School of Medicine, Kumamoto, Japan.
| | - Eiji Yumoto
- Department of Otolaryngology, Asahino General Hospital, Kumamoto, Japan
| | - Tetsuji Sanuki
- Department of Otolaryngology-Head and Neck Surgery, Nagoya City University Graduate School of Medical Sciences, Aichi, Japan
| | - Narihiro Kodama
- Department of Speech-Language pathology and Audiology, Faculty of Rehabilitation, Kawasaki University of Medical Welfare, Okayama, Japan
| | - Kaoruko Kuraoka
- Department of Otolaryngology-Head and Neck Surgery, Kumamoto University Graduate School of Medicine, Kumamoto, Japan
| | - Takumi Miyamoto
- Department of Otolaryngology-Head and Neck Surgery, Kumamoto University Graduate School of Medicine, Kumamoto, Japan
| | - Satoru Miyamaru
- Department of Otolaryngology-Head and Neck Surgery, Kumamoto University Graduate School of Medicine, Kumamoto, Japan
| | - Yorihisa Orita
- Department of Otolaryngology-Head and Neck Surgery, Kumamoto University Graduate School of Medicine, Kumamoto, Japan
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Brake DA, Patel RR, Risser RM, Ambrose G, Anthony BP. Treatment Outcomes of Type 1 Thyroplasty Using Gore-Tex® Following Injection Laryngoplasty. Ann Otol Rhinol Laryngol 2022:34894221120127. [PMID: 36168678 DOI: 10.1177/00034894221120127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To compare voice-related outcomes of type 1 thyroplasty using Gore-Tex® between patients with and without augmentation injection laryngoplasty (IL) prior to surgery. METHODS Forty-five patients who underwent Gore-Tex® thyroplasty at a single institution by a single surgeon between November 2016 and February 2019 were identified as those who previously had IL (n = 20) and those without IL (n = 25). Pre- and post-operative voice-related primary outcomes were evaluated using the GRBAS, and CAPE-V auditory-perceptual rating scales and secondary outcome were evaluated using the VRQOL. Pre- and post-operative voice samples were blinded, randomized, and analyzed by 3 voice-specialized speech pathologists to obtain CAPE-V scores. The VRQOL and GRBAS scores were obtained from retrospective chart review. Student's t test with a paired one-tailed distribution was used for comparisons within groups and 2-sample equal variance for comparisons between groups. Intraclass correlation coefficient determined interrater agreement. RESULTS GRBAS, and VRQOL significantly improved post Gore-Tex® thyroplasty. There was no difference in improvement between patients who received pre-surgery IL and those who did not in either GRBAS or VRQOL scores, but CAPE-V showed significant improvement in the IL group. A strongly positive correlation was demonstrated between the severity of CAPE-V pre-op score and the overall improvement following surgery for both groups combined. CONCLUSION Patients with vocal fold paralysis have a significantly better voice after Gore-Tex® thyroplasty by self-report (VRQOL) and assessment by trained voice professionals (GRBAS). Having IL prior to surgery does not adversely affect later surgical outcomes. This paper represents one of the largest analyses of voice quality outcomes of Gore-Tex® thyroplasty using validated patient scales and randomized blinded analyses.
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Affiliation(s)
- Daniela A Brake
- Department of Otolaryngology Head & Neck Surgery, Indiana University Health Voice Center, Indiana University School of Medicine, Indianapolis, IN, USA.,Department of Otolaryngology Head & Neck Surgery, Mayo Clinic Arizona, Phoenix, AZ, USA
| | - Rita R Patel
- Department of Otolaryngology Head & Neck Surgery, Indiana University Health Voice Center, Indiana University School of Medicine, Indianapolis, IN, USA.,Speech, Language and Hearing Sciences, Indiana University Voice Center, Indiana University, Indianapolis, IN, USA
| | - Rebecca M Risser
- Department of Otolaryngology Head & Neck Surgery, Indiana University Health Voice Center, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Gabrielle Ambrose
- Department of Otolaryngology Head & Neck Surgery, Indiana University Health Voice Center, Indiana University School of Medicine, Indianapolis, IN, USA
| | - Benjamin P Anthony
- Department of Otolaryngology Head & Neck Surgery, Indiana University Health Voice Center, Indiana University School of Medicine, Indianapolis, IN, USA
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Jacks A, Kavookjian H, Kraft S. Comparative Evaluation and Management of Dysphonia Between Adults <65 and ≥65 Years of Age. Otolaryngol Head Neck Surg 2020; 165:142-148. [PMID: 33290166 DOI: 10.1177/0194599820978435] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To compare presenting symptoms, etiology, and treatment outcomes among dysphonic adults <65 and ≥65 years of age. STUDY DESIGN Retrospective cohort study. SETTING Tertiary care voice center between January 2011 and June 2016. METHODS A total of 755 patients presenting for dysphonia were included in the study: 513 adults <65 years of age and 242 adults ≥65. Data collected included demographics, referral information, prior diagnoses, prior treatments, clinical examination findings, diagnosis, coexisting symptoms, treatments, and pre- and postintervention Voice Handicap Index scores. Statistical analysis was performed with SPSS to determine significant relationships between variables of interest. RESULTS The most common etiologies of dysphonia were vocal cord atrophy (44.8%) in the ≥65 cohort and benign vocal cord lesions (17.8%) in the <65 cohort. When compared with adults <65 years old, patients ≥65 had a higher incidence of neurologic dysphonia (P = .006) and vocal cord atrophy (P < .001) but were less likely to have laryngopharyngeal reflux (P = .001), benign vocal cord lesions (P < .001), or muscle tension dysphonia (P < .001). Overall, 139 patients had surgery, 251 received medical therapy, and 156 underwent voice therapy. The ≥65 cohort demonstrated improvement in Voice Handicap Index scores after surgery (P = .001) and voice therapy (P = .034), as did the <65 cohort (surgery, P < .001; voice therapy, P = .015). Adult surgical patients <65 reported greater improvements than patients ≥65 (P = .021). CONCLUSIONS There are notable differences in the pathophysiology of dysphonia between patients aged ≥65 and <65 years. Although adults <65 reported slightly better outcomes with surgery, patients ≥65 obtained significant benefit from surgery and voice therapy.
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Affiliation(s)
- Amy Jacks
- Department of Otolaryngology, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Hannah Kavookjian
- Department of Otolaryngology, University of Kansas Medical Center, Kansas City, Kansas, USA
| | - Shannon Kraft
- Department of Otolaryngology, University of Kansas Medical Center, Kansas City, Kansas, USA
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Patient-Related Factors of Medialization Laryngoplasty with Autologous Thyroid Cartilage. Healthcare (Basel) 2020; 8:healthcare8040521. [PMID: 33266030 PMCID: PMC7711452 DOI: 10.3390/healthcare8040521] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Revised: 11/21/2020] [Accepted: 11/23/2020] [Indexed: 11/18/2022] Open
Abstract
(1) Background: Medialization laryngoplasty with autologous thyroid cartilage (MLATC) is a surgical treatment for glottal closure insufficiency (GCI) resulted from unilateral vocal fold paralysis/paresis (UVFP) and vocal fold atrophy. We aimed to survey the influence of patient-related factors on the outcomes after MLATC. (2) Methods: The study enrolled 35 patients with GCI who underwent MLATC. Patient voice data were recorded before and after MLATC by using multiple acoustic parameters and subjective assessment in a computerized speech laboratory. GCI patients were characterized into subgroups based on three factors: age, ≥60 vs. <60 years; sex, men vs. women; and BMI, ≥24 vs. <24. (3) Results: When the subgroups were compared, men did not have better results after surgery than women. Patients ages < 60 years did not exhibit any significantly different outcome compared with those aged ≥ 60 years. Patients with BMI ≥ 24 did not have any significantly different outcome compared with those with BMI < 24. The subgroups of age, sex, and BMI had no significant difference in cumulative voice recovery and summation of GRBAS (G = grade, R = roughness, B = breathiness, A = asthenia, and S = strain). (4) Conclusions: MLATC is a good alternative surgery with long-term improvement in GCI patients. There is no evidence that age, sex, or BMI affect the functional outcome.
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Hasukawa A, Mochizuki R, Sakamoto H, Shibano A, Kitahara T. Surgical effects of type-I thyroplasty and fat injection laryngoplasty on voice recovery. Auris Nasus Larynx 2020; 48:302-309. [PMID: 32958328 DOI: 10.1016/j.anl.2020.08.026] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2020] [Revised: 08/18/2020] [Accepted: 08/27/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVE Type-I thryroplasty, also known as medialization thyroplasty (MT) and autologous fat injection laryngoplasty (FIL) are one of the main surgical treatments for unilateral vocal fold paralysis (UVFP). Both procedures have the same concept of completing the glottal closure by medializing the vocal fold, although the surgical approaches are quite different. In order to assess these surgical effects, we examined the treatment outcomes and benefits of the two surgeries. METHODS We collected data from the 135 phonosurgeries that we performed out of 375 patients with UVFP at Osaka Voice Center, Osaka Kaisei Hospital from January 2009 to February 2013. After excluding cases with glottal level differences on phonation, either MT or FIL were performed on 80 cases. The inclusion criteria for the present study were: (1) patients had no history of previous phonosurgery, and (2) functional evaluations were available before/after surgery. Consequently, 43 participants (12 for MT and 31 for FIL) were enrolled in this study. Surgical effects were evaluated by means of the maximum phonation time (MPT), pitch period perturbation quotient (PPQ), amplitude perturbation quotient (APQ), and harmonic to noise ratio (HNR) just before, one month, and 6 months after surgery. RESULTS Both MT and FIL showed significant improvement in MPT (MT, p = 0.005; FIL, p < 0.001) and PPQ (MT, p = 0.047; FIL, p = 0.041) at 1 month postoperation. We also compared the variation of each variable between the two procedures, but there were no significant differences in these parameters. However, MPT, APQ, and HNR at the post-MT after 6 months worsened compared to those at 1 month posttreatment, whereas MPT showed only a slight decrease from the 1st month to the 6th month in those with FIL. CONCLUSION Both MT and FIL were effective for the voice recovery in patients with UVFP. Our findings suggest that surgical results in FIL might be better than those in MT 6 months after surgery, although there were no significant differences between these two procedures 1 month postoperation.
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Affiliation(s)
- Akihito Hasukawa
- Department of Otolaryngology and Head & Neck Surgery, Nara Medical University, 840 Shijo-cho, Kashihara-city, Nara 634-8522, Japan; Department of Otolaryngology and Osaka Voice Center, Osaka Kaisei Hospital, Japan.
| | - Ryuichi Mochizuki
- Department of Otolaryngology and Head & Neck Surgery, Nara Medical University, 840 Shijo-cho, Kashihara-city, Nara 634-8522, Japan; Department of Otolaryngology and Osaka Voice Center, Osaka Kaisei Hospital, Japan; Sakamoto ENT clinic, Japan
| | | | - Akira Shibano
- Department of Otolaryngology and Osaka Voice Center, Osaka Kaisei Hospital, Japan
| | - Tadashi Kitahara
- Department of Otolaryngology and Head & Neck Surgery, Nara Medical University, 840 Shijo-cho, Kashihara-city, Nara 634-8522, Japan
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DeVore EK, Carroll TL, Shin JJ. Is a voice‐specific instrument more indicative of stroboscopy results than common clinical queries? Laryngoscope 2020; 130:992-999. [DOI: 10.1002/lary.28207] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Revised: 06/14/2019] [Accepted: 07/09/2019] [Indexed: 02/04/2023]
Affiliation(s)
- Elliana Kirsh DeVore
- Department of Otolaryngology–Head and Neck SurgeryHarvard Medical School Boston Massachusetts U.S.A
| | - Thomas L. Carroll
- Department of Otolaryngology–Head and Neck SurgeryHarvard Medical School Boston Massachusetts U.S.A
| | - Jennifer J. Shin
- Department of Otolaryngology–Head and Neck SurgeryHarvard Medical School Boston Massachusetts U.S.A
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Kelly Z, Patel AK, Klein AM. Evaluating Safety of Awake, Bilateral Injection Laryngoplasty for Bilateral Vocal Fold Atrophy. J Voice 2020; 35:789-792. [PMID: 32156451 DOI: 10.1016/j.jvoice.2020.01.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2019] [Revised: 01/07/2020] [Accepted: 01/08/2020] [Indexed: 11/26/2022]
Abstract
OBJECTIVE Office-based injection laryngoplasty (IL) has emerged as a useful procedure for otolaryngologists to correct glottic insufficiency while avoiding the costs and risks of general anesthesia. This is the first study focused on addressing the safety of bilateral IL for bilateral vocal fold (VF) atrophy. METHODS Patient records were reviewed from Emory University Hospital Midtown during the period of 2005 to 2017. Patients who underwent awake, bilateral transthyrohyoid, transoral, transcricothyroid, or transthyroid cartilage IL for bilateral VF atrophy were analyzed. All procedures, including repeat injections, were bilateral. Complication rate was used to evaluate safety. Patients with vocal cord paralysis, paresis, scar, and sulcus were excluded from the study. RESULTS Total 174 procedures met inclusion criteria. There were four complications, yielding a complication rate of 2.3%. Complications included aborted cases for difficult anatomy or poor patient tolerance, injection material not resorbing, and a VF hematoma. No patients had any airway emergencies or required admission to the hospital or evaluation in the emergency room. CONCLUSIONS This study illustrates a low complication rate for awake, bilateral IL in treating bilateral VF atrophy. This supports other studies that promote the safety of this procedure in the awake setting. Complications were associated with patient tolerance, unique anatomy, and in one case, anticoagulant medication. The low complication rate supports the conclusion that bilateral medialization IL is safe to perform in the office-based, awake setting.
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Affiliation(s)
- Zachary Kelly
- Emory University School of Medicine, Atlanta, Georgia
| | - Anju K Patel
- Department of Otolaryngology-Head and Neck Surgery, Emory Voice Center, Emory University School of Medicine, Atlanta, Georgia
| | - Adam M Klein
- Department of Otolaryngology-Head and Neck Surgery, Emory Voice Center, Emory University School of Medicine, Atlanta, Georgia.
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Farzal Z, Overton LJ, Farquhar DR, Stephenson ED, Shah RN, Buckmire RA. Sex‐based outcomes in type I thyroplasty for nonparalytic glottic incompetence. Laryngoscope 2019; 129:2543-2548. [DOI: 10.1002/lary.27770] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/26/2018] [Indexed: 11/09/2022]
Affiliation(s)
- Zainab Farzal
- Department of Otolaryngology—Head and Neck SurgeryUniversity of North Carolina at Chapel Hill Chapel Hill North Carolina U.S.A
| | - Lewis J. Overton
- Department of Otolaryngology—Head and Neck SurgeryUniversity of North Carolina at Chapel Hill Chapel Hill North Carolina U.S.A
| | - Douglas R. Farquhar
- Department of Otolaryngology—Head and Neck SurgeryUniversity of North Carolina at Chapel Hill Chapel Hill North Carolina U.S.A
| | - Elizabeth D. Stephenson
- Department of Otolaryngology—Head and Neck SurgeryUniversity of North Carolina at Chapel Hill Chapel Hill North Carolina U.S.A
| | - Rupali N. Shah
- Department of Otolaryngology—Head and Neck SurgeryUniversity of North Carolina at Chapel Hill Chapel Hill North Carolina U.S.A
| | - Robert A. Buckmire
- Department of Otolaryngology—Head and Neck SurgeryUniversity of North Carolina at Chapel Hill Chapel Hill North Carolina U.S.A
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Philips R, Chorath K, DeSilva B, Forrest LA, Simpson CB, Matrka L. Multi-institutional Evaluation of Medialization Laryngoplasty in the Elderly. Otolaryngol Head Neck Surg 2018; 160:876-884. [DOI: 10.1177/0194599818817762] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Objective To evaluate voice outcomes of medialization laryngoplasty in the elderly population (65 years and older) and to identify swallow outcomes, complication rates, and predictors of voice outcomes. Study Design Case series with chart review. Setting Two tertiary academic medical centers. Subjects and Methods We retrospectively reviewed charts of 136 patients age 65 years and older undergoing medialization laryngoplasty between January 2008 and May 2016 at 2 tertiary academic institutions. Primary outcome was assessed using Voice Handicap Index 10 (VHI-10) score and Grade, Roughness, Breathiness, Asthenia, and Strain (GRBAS) score. Secondary outcomes were assessed using the Eating Assessment Tool 10 (EAT-10) when dysphagia was present, stroboscopic analysis of glottic closure, and complication rates. A logistic regression analysis assessed predictors of voice improvement after medialization laryngoplasty. Results Total GRBAS and VHI-10 scores showed a significant improvement postoperatively ( P < .05). A ≥20% improvement was seen in 81.6% of patients, and a ≥50% improvement was seen in 53.7%. No patient had major complications. Minor complications occurred in 5.9% of patients. Multivariable logistic regression identified preoperative injection augmentation as an independent predictor of less improvement in VHI-10 score ( P = .015). Voice therapy prior to medialization did not affect voice outcomes ( P = .640). Conclusion Patient- and provider-perceived voice quality are significantly improved after medialization laryngoplasty in the elderly, and the procedure is associated with a low complication rate even in an elderly cohort. Improvement in patient-perceived voice outcomes after medialization laryngoplasty was diminished in patients with preoperative injection augmentation.
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Affiliation(s)
- Ramez Philips
- The Ohio State University College of Medicine, Columbus, Ohio, USA
| | - Kevin Chorath
- Department of Otolaryngology–Head and Neck Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
| | - Brad DeSilva
- Department of Otolaryngology–Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
| | - L. Arick Forrest
- Department of Otolaryngology–Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
| | - C. Blake Simpson
- Department of Otolaryngology–Head and Neck Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA
| | - Laura Matrka
- Department of Otolaryngology–Head and Neck Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
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Ekbom DC, Orbelo DM, Sangaralingham LR, Mwangi R, Houten HK, Balakrishnan K. Medialization laryngoplasty/arytenoid adduction: U.S. outcomes, discharge status, and utilization trends. Laryngoscope 2018; 129:952-960. [DOI: 10.1002/lary.27538] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/06/2018] [Indexed: 11/11/2022]
Affiliation(s)
- Dale C. Ekbom
- Department of Otolaryngology–Head and Neck SurgeryMayo Clinic
| | - Diana M. Orbelo
- Department of Otolaryngology–Head and Neck SurgeryMayo Clinic
| | - Lindsey R. Sangaralingham
- Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery Rochester Minnesota
- OptumLabs Cambridge Massachusetts U.S.A
| | - Raphael Mwangi
- Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery Rochester Minnesota
- OptumLabs Cambridge Massachusetts U.S.A
| | - Holly K. Houten
- Mayo Clinic Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery Rochester Minnesota
| | - Karthik Balakrishnan
- Department of Otolaryngology–Head and Neck SurgeryMayo Clinic
- OptumLabs Cambridge Massachusetts U.S.A
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Krouse JH. Highlights from the Current Issue: October 2017. Otolaryngol Head Neck Surg 2018; 157:541-542. [PMID: 28967341 DOI: 10.1177/0194599817729323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- John H Krouse
- 1 University of Texas Rio Grande Valley, Edinburg, Texas, USA
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