Tags

Type your tag names separated by a space and hit enter

Polydimethylsiloxane Injection Laryngoplasty for Unilateral Vocal Fold Paralysis: Long-Term Results.
J Voice. 2017 Jul; 31(4):517.e1-517.e7.JV

Abstract

OBJECTIVES

To analyze the long-term objective, perceptive, and subjective outcomes after endoscopic polydimethylsiloxane (PDMS) injection laryngoplasty in unilateral vocal fold paralysis.

STUDY DESIGN

A retrospective study carried out between January 2008 and January 2012.

SETTING

Head and Neck Department, University Hospital of Modena, Modena, Italy.

METHODS

This was a retrospective analysis of 26 patients with unilateral vocal fold paralysis who underwent endoscopic injection of PDMS under general anesthesia. A voice evaluation protocol was performed for all patients, which included videolaryngostroboscopy, maximum phonation time, fundamental frequency, analysis of the harmonic structure of the vowel /a/ and the word /aiuole/, Grade of Dysphonia, Instability, Roughness, Breathiness, Asthenia, and Strain scale, and Voice Handicap Index. The protocol was performed before surgery, in the immediate postoperative period, and at least 3 years after surgery. The mean follow-up period was 73 months (range 39-119 months).

RESULTS

The statistical analysis showed a significant improvement (P < 0.01) for all of the objective, perceptive, and subjective parameters by comparison between the preoperative and long-term follow-up data; moreover, no statistically significant difference was found between the postoperative and long-term follow-up data. This indicates that injection laryngoplasty with PDMS guarantees long-lasting effects over time. No complications were reported in our series.

CONCLUSION

Injection laryngoplasty with PDMS can be considered to be a minimally invasive and safe technique for the treatment of unilateral vocal fold paralysis. Moreover, it allows very good and stable results to be obtained over time, avoiding repeated treatments and improving the quality of life of the patients.

Authors+Show Affiliations

Head and Neck Department, University Hospital of Modena, Modena, Italy.Head and Neck Department, University Hospital of Modena, Modena, Italy.Head and Neck Department, University Hospital of Modena, Modena, Italy. Electronic address: botceci@gmail.com.Head and Neck Department, University Hospital of Modena, Modena, Italy.Head and Neck Department, University Hospital of Modena, Modena, Italy.Department of Medical and Surgical Sciences for Children and Adults, University Hospital of Modena, Modena, Italy.Head and Neck Department, University Hospital of Modena, Modena, Italy.Head and Neck Department, University Hospital of Modena, Modena, Italy.Speech Therapist in Head and Neck Department, University Hospital of Modena, Modena, Italy.Head and Neck Department, University Hospital of Modena, Modena, Italy.Head and Neck Department, University Hospital of Modena, Modena, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28131460

Citation

Mattioli, Francesco, et al. "Polydimethylsiloxane Injection Laryngoplasty for Unilateral Vocal Fold Paralysis: Long-Term Results." Journal of Voice : Official Journal of the Voice Foundation, vol. 31, no. 4, 2017, pp. 517.e1-517.e7.
Mattioli F, Bettini M, Botti C, et al. Polydimethylsiloxane Injection Laryngoplasty for Unilateral Vocal Fold Paralysis: Long-Term Results. J Voice. 2017;31(4):517.e1-517.e7.
Mattioli, F., Bettini, M., Botti, C., Busi, G., Tassi, S., Malagoli, A., Molteni, G., Trebbi, M., Luppi, M. P., Bergamini, G., & Presutti, L. (2017). Polydimethylsiloxane Injection Laryngoplasty for Unilateral Vocal Fold Paralysis: Long-Term Results. Journal of Voice : Official Journal of the Voice Foundation, 31(4), e1-e7. https://doi.org/10.1016/j.jvoice.2016.12.017
Mattioli F, et al. Polydimethylsiloxane Injection Laryngoplasty for Unilateral Vocal Fold Paralysis: Long-Term Results. J Voice. 2017;31(4):517.e1-517.e7. PubMed PMID: 28131460.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Polydimethylsiloxane Injection Laryngoplasty for Unilateral Vocal Fold Paralysis: Long-Term Results. AU - Mattioli,Francesco, AU - Bettini,Margherita, AU - Botti,Cecilia, AU - Busi,Giulia, AU - Tassi,Sauro, AU - Malagoli,Andrea, AU - Molteni,Gabriele, AU - Trebbi,Marco, AU - Luppi,Maria Pia, AU - Bergamini,Giuseppe, AU - Presutti,Livio, Y1 - 2017/01/26/ PY - 2016/11/26/received PY - 2016/12/26/revised PY - 2016/12/28/accepted PY - 2017/1/31/pubmed PY - 2018/4/24/medline PY - 2017/1/30/entrez KW - Endoscopic injection laryngoplasty KW - Injection laryngoplasty KW - Polydimethylsiloxane KW - Speech therapy KW - Vocal fold paralysis SP - 517.e1 EP - 517.e7 JF - Journal of voice : official journal of the Voice Foundation JO - J Voice VL - 31 IS - 4 N2 - OBJECTIVES: To analyze the long-term objective, perceptive, and subjective outcomes after endoscopic polydimethylsiloxane (PDMS) injection laryngoplasty in unilateral vocal fold paralysis. STUDY DESIGN: A retrospective study carried out between January 2008 and January 2012. SETTING: Head and Neck Department, University Hospital of Modena, Modena, Italy. METHODS: This was a retrospective analysis of 26 patients with unilateral vocal fold paralysis who underwent endoscopic injection of PDMS under general anesthesia. A voice evaluation protocol was performed for all patients, which included videolaryngostroboscopy, maximum phonation time, fundamental frequency, analysis of the harmonic structure of the vowel /a/ and the word /aiuole/, Grade of Dysphonia, Instability, Roughness, Breathiness, Asthenia, and Strain scale, and Voice Handicap Index. The protocol was performed before surgery, in the immediate postoperative period, and at least 3 years after surgery. The mean follow-up period was 73 months (range 39-119 months). RESULTS: The statistical analysis showed a significant improvement (P < 0.01) for all of the objective, perceptive, and subjective parameters by comparison between the preoperative and long-term follow-up data; moreover, no statistically significant difference was found between the postoperative and long-term follow-up data. This indicates that injection laryngoplasty with PDMS guarantees long-lasting effects over time. No complications were reported in our series. CONCLUSION: Injection laryngoplasty with PDMS can be considered to be a minimally invasive and safe technique for the treatment of unilateral vocal fold paralysis. Moreover, it allows very good and stable results to be obtained over time, avoiding repeated treatments and improving the quality of life of the patients. SN - 1873-4588 UR - https://www.unboundmedicine.com/medline/citation/28131460/Polydimethylsiloxane_Injection_Laryngoplasty_for_Unilateral_Vocal_Fold_Paralysis:_Long_Term_Results_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0892-1997(16)30470-2 DB - PRIME DP - Unbound Medicine ER -