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Electromyography-guided hyaluronic acid injection laryngoplasty in early stage of unilateral vocal fold paralysis.
Acta Otorrinolaringol Esp. 2017 Sep - Oct; 68(5):274-283.AO

Abstract

INTRODUCTION AND OBJECTIVE

To assess the effectiveness of electromyography-guided hyaluronic acid injection laryngoplasty in the early stage of unilateral vocal fold paralysis in terms of patient recovery from dysphonia and quality of life.

METHODS

Between January and December 2014, 28 patients with unilateral vocal fold paralysis underwent electromyography and injection of hyaluronic acid in the thyroarytenoid muscle. We compared the voice handicap index, grade, roughness, breathiness, asthenia, strain scale (GRBAS), videostroboscopic parameters and maximum phonation time assessed before, 15 days and 6 months after the intervention, using the non-parametric Wilcoxon rank test.

RESULTS

Out of the 28 patients, 1 had a haematoma in the injected vocal fold (3.57%) and 6 required second injections. The maximum phonation time of the vowel /e/ increased from 6.07 to 12.14 sec. (15 days post-intervention) and subsequently 12.75 (6 months post-intervention). There was also a significant improvement in the grade, roughness, breathiness, asthenia, strain scale in parameters G, B and A both 15 days and 6 months after the intervention. The voice handicap index score decreased from 58.29 to 37.63 (15 days post-intervention) and 29.64 (6 months post-intervention).

CONCLUSIONS

Electromyography-guided hyaluronic injection laryngoplasty in unilateral vocal fold paralysis enables, in the same intervention, neuromuscular assessment and temporary treatment of glottic insufficiency with a low risk of complications and improvement in patient's quality of life. This may reduce the need for subsequent treatments, but further research is required to confirm these findings.

Authors+Show Affiliations

Servicio de Otorrinolaringología, Hospital Galdakao-Usansolo, Vizcaya, España. Electronic address: i.gotxierezuma@gmail.com.Servicio de Neurofisiología Clínica, Hospital Galdakao-Usansolo, Vizcaya, España.Servicio de Otorrinolaringología, Hospital Galdakao-Usansolo, Vizcaya, España.Servicio de Otorrinolaringología, Hospital Galdakao-Usansolo, Vizcaya, España.Servicio de Otorrinolaringología, Hospital Galdakao-Usansolo, Vizcaya, España.Unidad de Investigación, Hospital Galdakao-Usansolo, Vizcaya, España; REDISSEC- Red de Investigación en Servicios de Salud en Enfermedades Crónicas, España.Unidad de Investigación, Hospital Galdakao-Usansolo, Vizcaya, España.Servicio de Otorrinolaringología, Hospital Galdakao-Usansolo, Vizcaya, España.

Pub Type(s)

Journal Article
Multicenter Study

Language

eng spa

PubMed ID

28238367

Citation

Gotxi-Erezuma, Itziar, et al. "Electromyography-guided Hyaluronic Acid Injection Laryngoplasty in Early Stage of Unilateral Vocal Fold Paralysis." Acta Otorrinolaringologica Espanola, vol. 68, no. 5, 2017, pp. 274-283.
Gotxi-Erezuma I, Ortega-Galán M, Laso-Elguezabal A, et al. Electromyography-guided hyaluronic acid injection laryngoplasty in early stage of unilateral vocal fold paralysis. Acta Otorrinolaringol Esp. 2017;68(5):274-283.
Gotxi-Erezuma, I., Ortega-Galán, M., Laso-Elguezabal, A., Prieto Puga, G., Bullido-Alonso, C., García-Gutiérrez, S., Anton-Ladislao, A., & Moreno-Alonso, E. (2017). Electromyography-guided hyaluronic acid injection laryngoplasty in early stage of unilateral vocal fold paralysis. Acta Otorrinolaringologica Espanola, 68(5), 274-283. https://doi.org/10.1016/j.otorri.2016.12.001
Gotxi-Erezuma I, et al. Electromyography-guided Hyaluronic Acid Injection Laryngoplasty in Early Stage of Unilateral Vocal Fold Paralysis. Acta Otorrinolaringol Esp. 2017 Sep - Oct;68(5):274-283. PubMed PMID: 28238367.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Electromyography-guided hyaluronic acid injection laryngoplasty in early stage of unilateral vocal fold paralysis. AU - Gotxi-Erezuma,Itziar, AU - Ortega-Galán,Mónica, AU - Laso-Elguezabal,Ainhoa, AU - Prieto Puga,Gonzalo, AU - Bullido-Alonso,Carolina, AU - García-Gutiérrez,Susana, AU - Anton-Ladislao,Ane, AU - Moreno-Alonso,Enrique, Y1 - 2017/02/24/ PY - 2016/07/05/received PY - 2016/11/23/revised PY - 2016/12/06/accepted PY - 2017/2/28/pubmed PY - 2018/6/29/medline PY - 2017/2/28/entrez KW - Electromiografía KW - Electromyography KW - Hyaluronic acid KW - Laringología KW - Laringoplastia KW - Laryngology KW - Laryngoplasty KW - Parálisis unilateral de cuerda vocal KW - Unilateral vocal cold paralysis KW - Ácido hialurónico SP - 274 EP - 283 JF - Acta otorrinolaringologica espanola JO - Acta Otorrinolaringol Esp VL - 68 IS - 5 N2 - INTRODUCTION AND OBJECTIVE: To assess the effectiveness of electromyography-guided hyaluronic acid injection laryngoplasty in the early stage of unilateral vocal fold paralysis in terms of patient recovery from dysphonia and quality of life. METHODS: Between January and December 2014, 28 patients with unilateral vocal fold paralysis underwent electromyography and injection of hyaluronic acid in the thyroarytenoid muscle. We compared the voice handicap index, grade, roughness, breathiness, asthenia, strain scale (GRBAS), videostroboscopic parameters and maximum phonation time assessed before, 15 days and 6 months after the intervention, using the non-parametric Wilcoxon rank test. RESULTS: Out of the 28 patients, 1 had a haematoma in the injected vocal fold (3.57%) and 6 required second injections. The maximum phonation time of the vowel /e/ increased from 6.07 to 12.14 sec. (15 days post-intervention) and subsequently 12.75 (6 months post-intervention). There was also a significant improvement in the grade, roughness, breathiness, asthenia, strain scale in parameters G, B and A both 15 days and 6 months after the intervention. The voice handicap index score decreased from 58.29 to 37.63 (15 days post-intervention) and 29.64 (6 months post-intervention). CONCLUSIONS: Electromyography-guided hyaluronic injection laryngoplasty in unilateral vocal fold paralysis enables, in the same intervention, neuromuscular assessment and temporary treatment of glottic insufficiency with a low risk of complications and improvement in patient's quality of life. This may reduce the need for subsequent treatments, but further research is required to confirm these findings. SN - 1988-3013 UR - https://www.unboundmedicine.com/medline/citation/28238367/Electromyography_guided_hyaluronic_acid_injection_laryngoplasty_in_early_stage_of_unilateral_vocal_fold_paralysis_ L2 - http://www.elsevier.es/en/linksolver/ft/pii/S0001-6519(17)30060-2 DB - PRIME DP - Unbound Medicine ER -