Tags

Type your tag names separated by a space and hit enter

Injection laryngoplasty as miniinvasive office-based surgery in patients with unilateral vocal fold paralysis - voice quality outcomes.
Wideochir Inne Tech Maloinwazyjne. 2017 Sep; 12(3):277-284.WI

Abstract

INTRODUCTION

Injection laryngoplasty (glottis augmentation) is the preferred method in surgical management of unilateral vocal fold paralysis (UVFP). Traditionally, these procedures are performed in the operating room. Nowadays, however, these procedures have moved into the office.

AIM

To evaluate the voice quality after transoral injection laryngoplasty under local anaesthesia in patients with unilateral vocal fold paralysis.

MATERIAL AND METHODS

Fourteen subjects (5 women and 9 men) with unilateral vocal fold paresis (9 with right vocal fold paresis and 5 with left vocal fold paresis) were included in the study. The mean age of the group was 57.8 ±19.0 years (32-83 years). All of the injection laryngoplasties were performed transorally, under local anaesthesia. The injection material was calcium hydroxylapatite. Before and 1, 3 and 6 months after the procedure the following variables were evaluated: voice perception, videostroboscopy, acoustic analysis, aerodynamic evaluation, and the subjective rating of the voice quality by the patient.

RESULTS

After injection laryngoplasty, complete glottal closure was achieved or there was a significant improvement in the glottal closure of each subject. We noted great improvement in the post-injection objective and subjective voice outcomes and patients reported improvement in the voice-related quality of life.

CONCLUSIONS

The transoral approach for injection laryngoplasty under local anaesthesia is an effective and safe way to treat incomplete glottal closure in patients with UVFP. The transoral approach is an efficient alternative to other surgical techniques used for vocal fold injection.

Authors+Show Affiliations

Department of Otolaryngology, Medical University of Warsaw, Warsaw, Poland.Department of Biophysics and Human Physiology, Medical University of Warsaw, Warsaw, Poland.Department of Otolaryngology, Medical University of Warsaw, Warsaw, Poland.Department of Otolaryngology, Medical University of Warsaw, Warsaw, Poland.Department of Otolaryngology, Medical University of Warsaw, Warsaw, Poland.Department of Otolaryngology, Medical University of Warsaw, Warsaw, Poland.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29062449

Citation

Sielska-Badurek, Ewelina M., et al. "Injection Laryngoplasty as Miniinvasive Office-based Surgery in Patients With Unilateral Vocal Fold Paralysis - Voice Quality Outcomes." Wideochirurgia I Inne Techniki Maloinwazyjne = Videosurgery and Other Miniinvasive Techniques, vol. 12, no. 3, 2017, pp. 277-284.
Sielska-Badurek EM, Sobol M, Jędra K, et al. Injection laryngoplasty as miniinvasive office-based surgery in patients with unilateral vocal fold paralysis - voice quality outcomes. Wideochir Inne Tech Maloinwazyjne. 2017;12(3):277-284.
Sielska-Badurek, E. M., Sobol, M., Jędra, K., Rzepakowska, A., Osuch-Wójcikiewicz, E., & Niemczyk, K. (2017). Injection laryngoplasty as miniinvasive office-based surgery in patients with unilateral vocal fold paralysis - voice quality outcomes. Wideochirurgia I Inne Techniki Maloinwazyjne = Videosurgery and Other Miniinvasive Techniques, 12(3), 277-284. https://doi.org/10.5114/wiitm.2017.68868
Sielska-Badurek EM, et al. Injection Laryngoplasty as Miniinvasive Office-based Surgery in Patients With Unilateral Vocal Fold Paralysis - Voice Quality Outcomes. Wideochir Inne Tech Maloinwazyjne. 2017;12(3):277-284. PubMed PMID: 29062449.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Injection laryngoplasty as miniinvasive office-based surgery in patients with unilateral vocal fold paralysis - voice quality outcomes. AU - Sielska-Badurek,Ewelina M, AU - Sobol,Maria, AU - Jędra,Katarzyna, AU - Rzepakowska,Anna, AU - Osuch-Wójcikiewicz,Ewa, AU - Niemczyk,Kazimierz, Y1 - 2017/07/17/ PY - 2017/04/12/received PY - 2017/05/20/accepted PY - 2017/10/25/entrez PY - 2017/10/25/pubmed PY - 2017/10/25/medline KW - calcium hydroxylapatite KW - glottal insufficiency KW - injection laryngoplasty KW - phonosurgery KW - transoral approach KW - vocal fold paralysis SP - 277 EP - 284 JF - Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques JO - Wideochir Inne Tech Maloinwazyjne VL - 12 IS - 3 N2 - INTRODUCTION: Injection laryngoplasty (glottis augmentation) is the preferred method in surgical management of unilateral vocal fold paralysis (UVFP). Traditionally, these procedures are performed in the operating room. Nowadays, however, these procedures have moved into the office. AIM: To evaluate the voice quality after transoral injection laryngoplasty under local anaesthesia in patients with unilateral vocal fold paralysis. MATERIAL AND METHODS: Fourteen subjects (5 women and 9 men) with unilateral vocal fold paresis (9 with right vocal fold paresis and 5 with left vocal fold paresis) were included in the study. The mean age of the group was 57.8 ±19.0 years (32-83 years). All of the injection laryngoplasties were performed transorally, under local anaesthesia. The injection material was calcium hydroxylapatite. Before and 1, 3 and 6 months after the procedure the following variables were evaluated: voice perception, videostroboscopy, acoustic analysis, aerodynamic evaluation, and the subjective rating of the voice quality by the patient. RESULTS: After injection laryngoplasty, complete glottal closure was achieved or there was a significant improvement in the glottal closure of each subject. We noted great improvement in the post-injection objective and subjective voice outcomes and patients reported improvement in the voice-related quality of life. CONCLUSIONS: The transoral approach for injection laryngoplasty under local anaesthesia is an effective and safe way to treat incomplete glottal closure in patients with UVFP. The transoral approach is an efficient alternative to other surgical techniques used for vocal fold injection. SN - 1895-4588 UR - https://www.unboundmedicine.com/medline/citation/29062449/Injection_laryngoplasty_as_miniinvasive_office_based_surgery_in_patients_with_unilateral_vocal_fold_paralysis___voice_quality_outcomes_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/29062449/ DB - PRIME DP - Unbound Medicine ER -