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Injection versus medialization laryngoplasty for the treatment of unilateral vocal fold paralysis: follow-up at six months.
Laryngoscope. 2010 Sep; 120(9):1802-7.L

Abstract

OBJECTIVES/HYPOTHESIS

To determine whether injection laryngoplasty or medialization laryngoplasty is more effective in the long-term treatment of unilateral vocal fold paralysis (UVFP).

STUDY DESIGN

A retrospective study of patients with UFVP who underwent either injection or medialization laryngoplasty at the University of Arkansas for Medical Sciences between July 29, 2003 and November 18, 2005.

METHODS

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

RESULTS

Thirty-four patients were evaluated, 15 new and 19 from a previous study. The average time from intervention to post-treatment evaluation in the new cohort was 4.8 months (range, 1.5-10.5 months). The average time from intervention to post-treatment in the combined cohort was 6.4 months (range, 1-24 months). Improvements were demonstrated in each of the measured voice parameters in both the injection and the medialization groups, and no significant differences were found in the degree of improvement between the two groups. Limited data on aerodynamic and acoustic voice measurements showed a trend toward improvement in each treatment group.

CONCLUSIONS

Injection and medialization laryngoplasty were comparable in achieving voice improvement at the average long-term follow-up of 6 months.

Links

Publisher Full Text

Authors+Show Affiliations

Vinson KN
Department of Otolaryngology, Vanderbilt Voice Center, Nashville, Tennessee, USA. kimberly.n.vinson@vanderbilt.edu
Zraick RI
No affiliation info available
Ragland FJ
No affiliation info available

MeSH

AdultAgedAged, 80 and overBiocompatible MaterialsCohort StudiesCollagenDurapatiteFemaleFollow-Up StudiesHumansInjectionsLaryngoscopyMaleMiddle AgedPatient SatisfactionRetrospective StudiesStroboscopyVideo RecordingVocal Cord ParalysisVocal CordsVoice Quality

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

20641088

Citation

Vinson, Kimberly N., et al. "Injection Versus Medialization Laryngoplasty for the Treatment of Unilateral Vocal Fold Paralysis: Follow-up at Six Months." The Laryngoscope, vol. 120, no. 9, 2010, pp. 1802-7.
Vinson KN, Zraick RI, Ragland FJ. Injection versus medialization laryngoplasty for the treatment of unilateral vocal fold paralysis: follow-up at six months. Laryngoscope. 2010;120(9):1802-7.
Vinson, K. N., Zraick, R. I., & Ragland, F. J. (2010). Injection versus medialization laryngoplasty for the treatment of unilateral vocal fold paralysis: follow-up at six months. The Laryngoscope, 120(9), 1802-7. https://doi.org/10.1002/lary.20982
Vinson KN, Zraick RI, Ragland FJ. Injection Versus Medialization Laryngoplasty for the Treatment of Unilateral Vocal Fold Paralysis: Follow-up at Six Months. Laryngoscope. 2010;120(9):1802-7. PubMed PMID: 20641088.
* 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: follow-up at six months. AU - Vinson,Kimberly N, AU - Zraick,Richard I, AU - Ragland,Felicia J, PY - 2010/7/20/entrez PY - 2010/7/20/pubmed PY - 2010/9/17/medline SP - 1802 EP - 7 JF - The Laryngoscope JO - Laryngoscope VL - 120 IS - 9 N2 - OBJECTIVES/HYPOTHESIS: To determine whether injection laryngoplasty or medialization laryngoplasty is more effective in the long-term treatment of unilateral vocal fold paralysis (UVFP). STUDY DESIGN: A retrospective study of patients with UFVP who underwent either injection or medialization laryngoplasty at the University of Arkansas for Medical Sciences between July 29, 2003 and November 18, 2005. METHODS: The data analyzed included patient characteristics and type of intervention, along with the pretreatment and post-treatment parameters of videostrobolaryngoscopy, perceptual voice analysis, and patients' subjective assessment of voice handicap. RESULTS: Thirty-four patients were evaluated, 15 new and 19 from a previous study. The average time from intervention to post-treatment evaluation in the new cohort was 4.8 months (range, 1.5-10.5 months). The average time from intervention to post-treatment in the combined cohort was 6.4 months (range, 1-24 months). Improvements were demonstrated in each of the measured voice parameters in both the injection and the medialization groups, and no significant differences were found in the degree of improvement between the two groups. Limited data on aerodynamic and acoustic voice measurements showed a trend toward improvement in each treatment group. CONCLUSIONS: Injection and medialization laryngoplasty were comparable in achieving voice improvement at the average long-term follow-up of 6 months. SN - 1531-4995 UR - https://www.unboundmedicine.com/medline/citation/20641088/Injection_versus_medialization_laryngoplasty_for_the_treatment_of_unilateral_vocal_fold_paralysis:_follow_up_at_six_months_ L2 - https://doi.org/10.1002/lary.20982 DB - PRIME DP - Unbound Medicine ER -