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Bipedicled strap muscle transposition for vocal fold deficit after laser cordectomy in early glottic cancer patients.
Laryngoscope. 2005 Mar; 115(3):528-33.L

Abstract

OBJECTIVE

In treating early glottic carcinomas, the outcomes of endoscopic laser cordectomy have been proven to be valuable in local control, survival, and vocal function preservation. In some extended cases, however, laser cordectomy may leave patients with poor vocal function because of vocal fold deficit. This work assesses the vocal outcome of medialization laryngoplasty with bipedicled strap muscle transposition for vocal fold deficit resulting from laser cordectomy in early glottic cancer patients.

STUDY DESIGN

A prospective clinical series.

METHODS

Thirteen early glottic cancer patients who had vocal fold deficit caused by previous laser cordectomy underwent medialization laryngoplasty with bipedicled strap muscle transposition. The thyroid lamina on the cordectomy side was paramedially separated. The inner perichondrium was circumspectly raised from the overlying thyroid cartilage. After separating the thyrohyoid and cricothyroid membranes, the lamina was retracted laterally. A bipedicled strap muscle flap was then transposed into the area between the lamina and the paraglottic soft tissue. The thyroid cartilages were carefully sutured back in position. All patients received pre- and postoperative voice assessments comprising laryngostroboscopy and vocal function studies.

RESULTS

Vocal enhancement was present in 92% (12/13) of patients after medialization laryngoplasty with strap muscle transposition. The glottal closure and maximal phonation time were noticeably improved by surgery. No dyspnea or other significant complications were observed in any patients.

CONCLUSION

The outcomes show that bipedicled strap muscle transposition is a prosthesis-free, safe, and valuable laryngoplastic technique for correcting glottal incompetence caused by endoscopic laser cordectomy in early glottic cancer patients.

Authors+Show Affiliations

Department of Otolaryngology and Speech Center, Chang Gung University, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Kaohsiung, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15744171

Citation

Su, Chih-Ying, et al. "Bipedicled Strap Muscle Transposition for Vocal Fold Deficit After Laser Cordectomy in Early Glottic Cancer Patients." The Laryngoscope, vol. 115, no. 3, 2005, pp. 528-33.
Su CY, Chuang HC, Tsai SS, et al. Bipedicled strap muscle transposition for vocal fold deficit after laser cordectomy in early glottic cancer patients. Laryngoscope. 2005;115(3):528-33.
Su, C. Y., Chuang, H. C., Tsai, S. S., & Chiu, J. F. (2005). Bipedicled strap muscle transposition for vocal fold deficit after laser cordectomy in early glottic cancer patients. The Laryngoscope, 115(3), 528-33.
Su CY, et al. Bipedicled Strap Muscle Transposition for Vocal Fold Deficit After Laser Cordectomy in Early Glottic Cancer Patients. Laryngoscope. 2005;115(3):528-33. PubMed PMID: 15744171.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bipedicled strap muscle transposition for vocal fold deficit after laser cordectomy in early glottic cancer patients. AU - Su,Chih-Ying, AU - Chuang,Hui-Ching, AU - Tsai,Shang-Shyue, AU - Chiu,Jeng-Fen, PY - 2005/3/4/pubmed PY - 2005/4/16/medline PY - 2005/3/4/entrez SP - 528 EP - 33 JF - The Laryngoscope JO - Laryngoscope VL - 115 IS - 3 N2 - OBJECTIVE: In treating early glottic carcinomas, the outcomes of endoscopic laser cordectomy have been proven to be valuable in local control, survival, and vocal function preservation. In some extended cases, however, laser cordectomy may leave patients with poor vocal function because of vocal fold deficit. This work assesses the vocal outcome of medialization laryngoplasty with bipedicled strap muscle transposition for vocal fold deficit resulting from laser cordectomy in early glottic cancer patients. STUDY DESIGN: A prospective clinical series. METHODS: Thirteen early glottic cancer patients who had vocal fold deficit caused by previous laser cordectomy underwent medialization laryngoplasty with bipedicled strap muscle transposition. The thyroid lamina on the cordectomy side was paramedially separated. The inner perichondrium was circumspectly raised from the overlying thyroid cartilage. After separating the thyrohyoid and cricothyroid membranes, the lamina was retracted laterally. A bipedicled strap muscle flap was then transposed into the area between the lamina and the paraglottic soft tissue. The thyroid cartilages were carefully sutured back in position. All patients received pre- and postoperative voice assessments comprising laryngostroboscopy and vocal function studies. RESULTS: Vocal enhancement was present in 92% (12/13) of patients after medialization laryngoplasty with strap muscle transposition. The glottal closure and maximal phonation time were noticeably improved by surgery. No dyspnea or other significant complications were observed in any patients. CONCLUSION: The outcomes show that bipedicled strap muscle transposition is a prosthesis-free, safe, and valuable laryngoplastic technique for correcting glottal incompetence caused by endoscopic laser cordectomy in early glottic cancer patients. SN - 0023-852X UR - https://www.unboundmedicine.com/medline/citation/15744171/Bipedicled_strap_muscle_transposition_for_vocal_fold_deficit_after_laser_cordectomy_in_early_glottic_cancer_patients_ L2 - https://doi.org/10.1097/01.MLG.0000150091.55295.56 DB - PRIME DP - Unbound Medicine ER -