Tags

Type your tag names separated by a space and hit enter

Short-term treatment results for unilateral vocal fold palsy induced by mediastinal lesions.
J Voice. 2014 Nov; 28(6):809-15.JV

Abstract

OBJECTIVES

Vocal fold paralysis (VFP) is a frequent complication of surgery of mediastinal structures. This study evaluated the characteristics and short-term treatment outcomes of injection laryngoplasty for unilateral VFP (UVFP) induced by mediastinal lesions.

METHODS

The enrolled patients (n = 60) underwent injection laryngoplasty once because of UVFP and were divided into two groups according to cause (group A, thyroidectomy and group B, mediastinal surgery). Voice analysis was performed preoperatively and at 1 month postoperatively. The glottal gap; the Grade, Roughness, Breathiness, Asthenia, and Strain scale; acoustic analysis; and aerodynamic results were measured.

RESULTS

Group A and group B comprised eight and 52 patients, respectively. Group B patients were older than group A patients (P < 0.05). The injected volume in group B (0.91 ± 0.23 mL) was larger than that of group A (0.38 ± 0.17 mL; P = 0.022). Group B (13.35 ± 4.69 units) showed a larger glottal gap than group A (6.64 ± 4.05 units; P = 0.017), and the glottal gap decreased after the procedure. In both groups, most preoperative acoustic parameters except roughness improved after injection laryngoplasty. The preoperative maximum phonation time of group B (2.87 ± 1.11 seconds) was shorter than that of group A (7.04 ± 2.58 seconds), and it improved after injection. Mean airflow rate improved significantly after injection in both groups.

CONCLUSIONS

Mediastinal lesion-induced UVFP is associated with a larger glottal gap than that caused by an injury induced by thyroidectomy. Despite large glottal gap, injection laryngoplasty improves voice outcomes in such types of UVFP.

Authors+Show Affiliations

Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.Department of Otolaryngology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. Electronic address: synam@amc.seoul.kr.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

25008380

Citation

Lee, Yoon Se, et al. "Short-term Treatment Results for Unilateral Vocal Fold Palsy Induced By Mediastinal Lesions." Journal of Voice : Official Journal of the Voice Foundation, vol. 28, no. 6, 2014, pp. 809-15.
Lee YS, Kim YH, Kwon M, et al. Short-term treatment results for unilateral vocal fold palsy induced by mediastinal lesions. J Voice. 2014;28(6):809-15.
Lee, Y. S., Kim, Y. H., Kwon, M., Ryu, I. S., Jung, G. E., Kim, S. T., Roh, J. L., Choi, S. H., Kim, S. Y., & Nam, S. Y. (2014). Short-term treatment results for unilateral vocal fold palsy induced by mediastinal lesions. Journal of Voice : Official Journal of the Voice Foundation, 28(6), 809-15. https://doi.org/10.1016/j.jvoice.2014.04.003
Lee YS, et al. Short-term Treatment Results for Unilateral Vocal Fold Palsy Induced By Mediastinal Lesions. J Voice. 2014;28(6):809-15. PubMed PMID: 25008380.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Short-term treatment results for unilateral vocal fold palsy induced by mediastinal lesions. AU - Lee,Yoon Se, AU - Kim,Yong-Hee, AU - Kwon,Minsu, AU - Ryu,In Sun, AU - Jung,Go-Eun, AU - Kim,Seong-Tae, AU - Roh,Jong-Lyel, AU - Choi,Seung-Ho, AU - Kim,Sang Yoon, AU - Nam,Soon-Yuhl, Y1 - 2014/07/05/ PY - 2014/01/14/received PY - 2014/04/01/accepted PY - 2014/7/11/entrez PY - 2014/7/11/pubmed PY - 2015/7/30/medline KW - Laryngoplasty KW - Vocal fold paralysis KW - Voice quality SP - 809 EP - 15 JF - Journal of voice : official journal of the Voice Foundation JO - J Voice VL - 28 IS - 6 N2 - OBJECTIVES: Vocal fold paralysis (VFP) is a frequent complication of surgery of mediastinal structures. This study evaluated the characteristics and short-term treatment outcomes of injection laryngoplasty for unilateral VFP (UVFP) induced by mediastinal lesions. METHODS: The enrolled patients (n = 60) underwent injection laryngoplasty once because of UVFP and were divided into two groups according to cause (group A, thyroidectomy and group B, mediastinal surgery). Voice analysis was performed preoperatively and at 1 month postoperatively. The glottal gap; the Grade, Roughness, Breathiness, Asthenia, and Strain scale; acoustic analysis; and aerodynamic results were measured. RESULTS: Group A and group B comprised eight and 52 patients, respectively. Group B patients were older than group A patients (P < 0.05). The injected volume in group B (0.91 ± 0.23 mL) was larger than that of group A (0.38 ± 0.17 mL; P = 0.022). Group B (13.35 ± 4.69 units) showed a larger glottal gap than group A (6.64 ± 4.05 units; P = 0.017), and the glottal gap decreased after the procedure. In both groups, most preoperative acoustic parameters except roughness improved after injection laryngoplasty. The preoperative maximum phonation time of group B (2.87 ± 1.11 seconds) was shorter than that of group A (7.04 ± 2.58 seconds), and it improved after injection. Mean airflow rate improved significantly after injection in both groups. CONCLUSIONS: Mediastinal lesion-induced UVFP is associated with a larger glottal gap than that caused by an injury induced by thyroidectomy. Despite large glottal gap, injection laryngoplasty improves voice outcomes in such types of UVFP. SN - 1873-4588 UR - https://www.unboundmedicine.com/medline/citation/25008380/Short_term_treatment_results_for_unilateral_vocal_fold_palsy_induced_by_mediastinal_lesions_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0892-1997(14)00071-X DB - PRIME DP - Unbound Medicine ER -