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Injection versus medialization laryngoplasty for the treatment of unilateral vocal fold paralysis.
Laryngoscope. 2007 Nov; 117(11):2068-74.L

Abstract

OBJECTIVE/HYPOTHESIS

To determine whether injection laryngoplasty or medialization laryngoplasty is more effective in the treatment of unilateral vocal fold paralysis.

STUDY DESIGN

A retrospective study of patients with unilateral vocal fold paralysis who underwent either injection or medialization laryngoplasty at the University of Arkansas for Medical Sciences between July 29, 2003 and March 8, 2005.

METHODS

The data analyzed included patient characteristics and type of intervention, along with the pretreatment and posttreatment voice parameters of videostrobolaryngoscopy, perceptual analysis, and patients' subjective voice assessment.

RESULTS

Nineteen patients were evaluated. The average time from intervention to posttreatment evaluation was 3 (range, 1-9) months. Improvements were demonstrated in all three voice parameters in both the injection and the medialization groups. No significant differences were found in the degree of improvement between the two groups. Videostrobolaryngoscopy and the perceptual analysis, both rated by the authors, correlated well with each other, but they both correlated poorly with the patients' subjective voice analysis.

CONCLUSIONS

Injection and medialization laryngoplasty were comparable in their improvement of subjective and objective voice outcomes. Both treatment modalities should be included in the otolaryngologist's armamentarium for managing unilateral vocal fold paralysis.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA. morganJK99@msn.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17828043

Citation

Morgan, Justin E., et al. "Injection Versus Medialization Laryngoplasty for the Treatment of Unilateral Vocal Fold Paralysis." The Laryngoscope, vol. 117, no. 11, 2007, pp. 2068-74.
Morgan JE, Zraick RI, Griffin AW, et al. Injection versus medialization laryngoplasty for the treatment of unilateral vocal fold paralysis. Laryngoscope. 2007;117(11):2068-74.
Morgan, J. E., Zraick, R. I., Griffin, A. W., Bowen, T. L., & Johnson, F. L. (2007). Injection versus medialization laryngoplasty for the treatment of unilateral vocal fold paralysis. The Laryngoscope, 117(11), 2068-74.
Morgan JE, et al. Injection Versus Medialization Laryngoplasty for the Treatment of Unilateral Vocal Fold Paralysis. Laryngoscope. 2007;117(11):2068-74. PubMed PMID: 17828043.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Injection versus medialization laryngoplasty for the treatment of unilateral vocal fold paralysis. AU - Morgan,Justin E, AU - Zraick,Richard I, AU - Griffin,Allison W, AU - Bowen,Travis L, AU - Johnson,Felicia L, PY - 2007/9/11/pubmed PY - 2008/1/8/medline PY - 2007/9/11/entrez SP - 2068 EP - 74 JF - The Laryngoscope JO - Laryngoscope VL - 117 IS - 11 N2 - OBJECTIVE/HYPOTHESIS: To determine whether injection laryngoplasty or medialization laryngoplasty is more effective in the treatment of unilateral vocal fold paralysis. STUDY DESIGN: A retrospective study of patients with unilateral vocal fold paralysis who underwent either injection or medialization laryngoplasty at the University of Arkansas for Medical Sciences between July 29, 2003 and March 8, 2005. METHODS: The data analyzed included patient characteristics and type of intervention, along with the pretreatment and posttreatment voice parameters of videostrobolaryngoscopy, perceptual analysis, and patients' subjective voice assessment. RESULTS: Nineteen patients were evaluated. The average time from intervention to posttreatment evaluation was 3 (range, 1-9) months. Improvements were demonstrated in all three voice parameters in both the injection and the medialization groups. No significant differences were found in the degree of improvement between the two groups. Videostrobolaryngoscopy and the perceptual analysis, both rated by the authors, correlated well with each other, but they both correlated poorly with the patients' subjective voice analysis. CONCLUSIONS: Injection and medialization laryngoplasty were comparable in their improvement of subjective and objective voice outcomes. Both treatment modalities should be included in the otolaryngologist's armamentarium for managing unilateral vocal fold paralysis. SN - 0023-852X UR - https://www.unboundmedicine.com/medline/citation/17828043/Injection_versus_medialization_laryngoplasty_for_the_treatment_of_unilateral_vocal_fold_paralysis_ L2 - https://doi.org/10.1097/MLG.0b013e318137385e DB - PRIME DP - Unbound Medicine ER -