Tags

Type your tag names separated by a space and hit enter

Short- and long-term outcomes after silastic medicalization laryngoplasty: are arytenoid procedures needed?
J Voice. 2015 Mar; 29(2):236-40.JV

Abstract

OBJECTIVE

To evaluate short- and long-term vocal outcomes after medialization laryngoplasty (ML) using a silastic implant in patients with unilateral vocal fold paralysis (UVFP).

DESIGN AND METHODS

Prospective study of consecutive patients undergoing ML with silastic (MLS) diagnosed with UVFP from 2009 till 2012 and with at least 9 months follow-up. Pre- and post-treatment maximum phonation time (MPT) and voice handicap index (VHI) scores were compared to assess the impact of ML on these outcomes. Patients with high vagal lesions or lateralized vocal folds (very low MPT) were compared with the entire group and the literature.

RESULTS

A total of 124 patients with UVFP underwent MLS. Forty-six patients were excluded as they either had a Gore-Tex implant (eight), short follow-up (20), or the primary case was a revision (18). Seventy-eight patients were included. Pretreatment mean VHI (total score) was 67 for the entire cohort. Postoperative VHI score was significantly lower both in short-term (3-8 weeks) follow-up, mean score 27 (paired t-test, P < 0.05) and in long-term follow-up (9-12 months), mean score 22 (P < 0.05). MPT was significantly improved from 8.3 pretreatment to 22.6 at short-term follow-up (P < 0.05) and to 24.2 long-term follow-up (P < 0.05). There were no significant differences between entire cohort and patients with a lateralized vocal fold or high vagal lesion. Comparable results were present when compared with the literature using similar metrics in patients undergoing an arytenoid procedure with/without medialization.

CONCLUSION

MLS alone is effective in managing UVFP in most patients.

Authors+Show Affiliations

The Cleveland Clinic, Cleveland, Ohio. Electronic address: bwnninerm@aol.com.Case Western Reserve University School of Medicine, Cleveland, Ohio.Nationwide Children's Hospital, Columbus, Ohio.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25510165

Citation

Benninger, Michael S., et al. "Short- and Long-term Outcomes After Silastic Medicalization Laryngoplasty: Are Arytenoid Procedures Needed?" Journal of Voice : Official Journal of the Voice Foundation, vol. 29, no. 2, 2015, pp. 236-40.
Benninger MS, Manzoor N, Ruda JM. Short- and long-term outcomes after silastic medicalization laryngoplasty: are arytenoid procedures needed? J Voice. 2015;29(2):236-40.
Benninger, M. S., Manzoor, N., & Ruda, J. M. (2015). Short- and long-term outcomes after silastic medicalization laryngoplasty: are arytenoid procedures needed? Journal of Voice : Official Journal of the Voice Foundation, 29(2), 236-40. https://doi.org/10.1016/j.jvoice.2014.07.008
Benninger MS, Manzoor N, Ruda JM. Short- and Long-term Outcomes After Silastic Medicalization Laryngoplasty: Are Arytenoid Procedures Needed. J Voice. 2015;29(2):236-40. PubMed PMID: 25510165.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Short- and long-term outcomes after silastic medicalization laryngoplasty: are arytenoid procedures needed? AU - Benninger,Michael S, AU - Manzoor,Nauman, AU - Ruda,James M, Y1 - 2014/12/12/ PY - 2014/05/07/received PY - 2014/07/16/accepted PY - 2014/12/17/entrez PY - 2014/12/17/pubmed PY - 2016/3/2/medline KW - Medicalization laryngoplasty KW - Outcomes KW - Silastic KW - Vocal fold paralysis SP - 236 EP - 40 JF - Journal of voice : official journal of the Voice Foundation JO - J Voice VL - 29 IS - 2 N2 - OBJECTIVE: To evaluate short- and long-term vocal outcomes after medialization laryngoplasty (ML) using a silastic implant in patients with unilateral vocal fold paralysis (UVFP). DESIGN AND METHODS: Prospective study of consecutive patients undergoing ML with silastic (MLS) diagnosed with UVFP from 2009 till 2012 and with at least 9 months follow-up. Pre- and post-treatment maximum phonation time (MPT) and voice handicap index (VHI) scores were compared to assess the impact of ML on these outcomes. Patients with high vagal lesions or lateralized vocal folds (very low MPT) were compared with the entire group and the literature. RESULTS: A total of 124 patients with UVFP underwent MLS. Forty-six patients were excluded as they either had a Gore-Tex implant (eight), short follow-up (20), or the primary case was a revision (18). Seventy-eight patients were included. Pretreatment mean VHI (total score) was 67 for the entire cohort. Postoperative VHI score was significantly lower both in short-term (3-8 weeks) follow-up, mean score 27 (paired t-test, P < 0.05) and in long-term follow-up (9-12 months), mean score 22 (P < 0.05). MPT was significantly improved from 8.3 pretreatment to 22.6 at short-term follow-up (P < 0.05) and to 24.2 long-term follow-up (P < 0.05). There were no significant differences between entire cohort and patients with a lateralized vocal fold or high vagal lesion. Comparable results were present when compared with the literature using similar metrics in patients undergoing an arytenoid procedure with/without medialization. CONCLUSION: MLS alone is effective in managing UVFP in most patients. SN - 1873-4588 UR - https://www.unboundmedicine.com/medline/citation/25510165/Short__and_long_term_outcomes_after_silastic_medicalization_laryngoplasty:_are_arytenoid_procedures_needed L2 - https://linkinghub.elsevier.com/retrieve/pii/S0892-1997(14)00142-8 DB - PRIME DP - Unbound Medicine ER -