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Evaluation of open approach and injection laryngoplasty in revision thyroplasty procedures.
Otolaryngol Head Neck Surg. 2008 Feb; 138(2):226-32.OH

Abstract

INTRODUCTION

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.

METHODS

A retrospective chart review was performed.

RESULTS

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.

CONCLUSION

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.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA 52242, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18241721

Citation

Andrews, Brian T., et al. "Evaluation of Open Approach and Injection Laryngoplasty in Revision Thyroplasty Procedures." Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, vol. 138, no. 2, 2008, pp. 226-32.
Andrews BT, Van Daele DJ, Karnell MP, et al. Evaluation of open approach and injection laryngoplasty in revision thyroplasty procedures. Otolaryngol Head Neck Surg. 2008;138(2):226-32.
Andrews, B. T., Van Daele, D. J., Karnell, M. P., McCulloch, T. M., Graham, S. M., & Hoffman, H. T. (2008). Evaluation of open approach and injection laryngoplasty in revision thyroplasty procedures. Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 138(2), 226-32. https://doi.org/10.1016/j.otohns.2007.10.016
Andrews BT, et al. Evaluation of Open Approach and Injection Laryngoplasty in Revision Thyroplasty Procedures. Otolaryngol Head Neck Surg. 2008;138(2):226-32. PubMed PMID: 18241721.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of open approach and injection laryngoplasty in revision thyroplasty procedures. AU - Andrews,Brian T, AU - Van Daele,Douglas J, AU - Karnell,Michael P, AU - McCulloch,Timothy M, AU - Graham,Scott M, AU - Hoffman,Henry T, PY - 2007/03/05/received PY - 2007/08/17/revised PY - 2007/10/23/accepted PY - 2008/2/5/pubmed PY - 2008/3/19/medline PY - 2008/2/5/entrez SP - 226 EP - 32 JF - Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery JO - Otolaryngol Head Neck Surg VL - 138 IS - 2 N2 - INTRODUCTION: 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. METHODS: A retrospective chart review was performed. RESULTS: 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. CONCLUSION: 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. SN - 0194-5998 UR - https://www.unboundmedicine.com/medline/citation/18241721/Evaluation_of_open_approach_and_injection_laryngoplasty_in_revision_thyroplasty_procedures_ L2 - https://journals.sagepub.com/doi/10.1016/j.otohns.2007.10.016?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -