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Long-term Voice Outcomes of Early Thyroplasty for Unilateral Vocal Fold Paralysis Following Aortic Arch Surgery.
Ann Otol Rhinol Laryngol. 2016 Jul; 125(7):559-63.AO

Abstract

OBJECTIVE

To describe this institution's experience with and the long-term outcomes of early type 1 thyroplasty for unilateral vocal fold paralysis (UVFP) following surgery on the aortic arch.

STUDY DESIGN

Retrospective chart review with telephone questionnaire.

SETTING

Academic tertiary care center.

SUBJECTS AND METHODS

Three hundred forty-eight patients with UVFP following surgery on the aortic arch since 1999 were identified; 40 were available for follow-up. The number of revision procedures following initial thyroplasty was ascertained, and the Voice Handicap Index (VHI) was administered by telephone. The hypothesis that early thyroplasty produced voice outcomes and revision rates comparable to injection laryngoplasty was established prior to the initiation of data collection.

RESULTS

Six out of the 40 patients (15%) required revision thyroplasty following their initial procedure. Mean VHI of all patients was 36.0 (SD, 27.2). Mean VHI was significantly different in the 18 to 39 age group (13.1) when compared to the 40 to 59 (51.8) and 60+ (37.7) age groups (P = .013). Mean follow-up since initial thyroplasty was 46.5 months (SD, 42.2).

CONCLUSIONS

In the setting of aortic arch surgery with injury to the recurrent laryngeal nerve, early thyroplasty produces voice outcomes comparable to those achieved in the literature with repeated injection and delayed thyroplasty and can be considered in select populations.

Authors+Show Affiliations

Division of Laryngeal Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.Department of Otolaryngology-Head and Neck Surgery, Louisiana State University-Shreveport, Shreveport, Louisiana, USA.Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA.Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, USA paulekwak@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26969453

Citation

Kwak, Paul E., et al. "Long-term Voice Outcomes of Early Thyroplasty for Unilateral Vocal Fold Paralysis Following Aortic Arch Surgery." The Annals of Otology, Rhinology, and Laryngology, vol. 125, no. 7, 2016, pp. 559-63.
Kwak PE, Tritter AG, Donovan DT, et al. Long-term Voice Outcomes of Early Thyroplasty for Unilateral Vocal Fold Paralysis Following Aortic Arch Surgery. Ann Otol Rhinol Laryngol. 2016;125(7):559-63.
Kwak, P. E., Tritter, A. G., Donovan, D. T., & Ongkasuwan, J. (2016). Long-term Voice Outcomes of Early Thyroplasty for Unilateral Vocal Fold Paralysis Following Aortic Arch Surgery. The Annals of Otology, Rhinology, and Laryngology, 125(7), 559-63. https://doi.org/10.1177/0003489416636127
Kwak PE, et al. Long-term Voice Outcomes of Early Thyroplasty for Unilateral Vocal Fold Paralysis Following Aortic Arch Surgery. Ann Otol Rhinol Laryngol. 2016;125(7):559-63. PubMed PMID: 26969453.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Long-term Voice Outcomes of Early Thyroplasty for Unilateral Vocal Fold Paralysis Following Aortic Arch Surgery. AU - Kwak,Paul E, AU - Tritter,Andrew G, AU - Donovan,Donald T, AU - Ongkasuwan,Julina, Y1 - 2016/03/11/ PY - 2016/3/13/entrez PY - 2016/3/13/pubmed PY - 2017/1/24/medline KW - reconstructive techniques KW - vocal cord movement KW - vocal fold paralysis KW - voice disorders KW - voice outcomes SP - 559 EP - 63 JF - The Annals of otology, rhinology, and laryngology JO - Ann Otol Rhinol Laryngol VL - 125 IS - 7 N2 - OBJECTIVE: To describe this institution's experience with and the long-term outcomes of early type 1 thyroplasty for unilateral vocal fold paralysis (UVFP) following surgery on the aortic arch. STUDY DESIGN: Retrospective chart review with telephone questionnaire. SETTING: Academic tertiary care center. SUBJECTS AND METHODS: Three hundred forty-eight patients with UVFP following surgery on the aortic arch since 1999 were identified; 40 were available for follow-up. The number of revision procedures following initial thyroplasty was ascertained, and the Voice Handicap Index (VHI) was administered by telephone. The hypothesis that early thyroplasty produced voice outcomes and revision rates comparable to injection laryngoplasty was established prior to the initiation of data collection. RESULTS: Six out of the 40 patients (15%) required revision thyroplasty following their initial procedure. Mean VHI of all patients was 36.0 (SD, 27.2). Mean VHI was significantly different in the 18 to 39 age group (13.1) when compared to the 40 to 59 (51.8) and 60+ (37.7) age groups (P = .013). Mean follow-up since initial thyroplasty was 46.5 months (SD, 42.2). CONCLUSIONS: In the setting of aortic arch surgery with injury to the recurrent laryngeal nerve, early thyroplasty produces voice outcomes comparable to those achieved in the literature with repeated injection and delayed thyroplasty and can be considered in select populations. SN - 1943-572X UR - https://www.unboundmedicine.com/medline/citation/26969453/Long_term_Voice_Outcomes_of_Early_Thyroplasty_for_Unilateral_Vocal_Fold_Paralysis_Following_Aortic_Arch_Surgery_ L2 - https://journals.sagepub.com/doi/10.1177/0003489416636127?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -