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Transoral silastic medialization for unilateral vocal fold paralysis.

Abstract

BACKGROUND

Medialization laryngoplasty has historically been performed through an external approach. The aim of our work is to demonstrate the feasibility of silastic vocal fold medialization transorally.

METHODS

Patients with unilateral vocal fold paralysis requiring medialization laryngoplasty were included in this report. Silastic medialization was done through a transoral approach. A supraglottic laryngotomy is performed followed by dissection and tunneling in the paraglottic space. Silastic implant is inserted into the tunnel to medialize the vocal fold and the ipsilateral arytenoid. The laryngotomy is tightly closed by endoscopic sutures.

RESULTS

A consecutive series of 22 patients are reported. All patients had dysphonia with significant glottic insufficiency. After endoscopic silastic medialization, voice and swallowing were significantly improved (P < .001). No postoperative complications or implant extrusion occurred in our series.

CONCLUSION

Silastic vocal fold medialization can be safely and effectively performed through a transoral approach with good results on voice and swallowing.

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  • Authors+Show Affiliations

    ,

    Otolaryngology-Head & Neck Surgery Department, Grenoble Alpes University Hospital, Grenoble, France.

    ,

    Colombia Asia Referral Hospital, Bangalore, Karnataka, India.

    Otolaryngology-Head & Neck Surgery, Northern Light Health Medical Center, Bangor, Maine.

    Source

    Head & neck : 2019 Apr 26 pg

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    31025790

    Citation

    Atallah, Ihab, et al. "Transoral Silastic Medialization for Unilateral Vocal Fold Paralysis." Head & Neck, 2019.
    Atallah I, Manjunath MK, Castellanos PF. Transoral silastic medialization for unilateral vocal fold paralysis. Head Neck. 2019.
    Atallah, I., Manjunath, M. K., & Castellanos, P. F. (2019). Transoral silastic medialization for unilateral vocal fold paralysis. Head & Neck, doi:10.1002/hed.25774.
    Atallah I, Manjunath MK, Castellanos PF. Transoral Silastic Medialization for Unilateral Vocal Fold Paralysis. Head Neck. 2019 Apr 26; PubMed PMID: 31025790.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Transoral silastic medialization for unilateral vocal fold paralysis. AU - Atallah,Ihab, AU - Manjunath,M K, AU - Castellanos,Paul F, Y1 - 2019/04/26/ PY - 2018/10/22/received PY - 2019/03/26/revised PY - 2019/04/02/accepted PY - 2019/4/27/pubmed PY - 2019/4/27/medline PY - 2019/4/27/entrez KW - R-TLM KW - medialization laryngoplasty KW - reconstructive transoral laser microsurgery KW - silastic implantation KW - unilateral vocal fold paralysis JF - Head & neck JO - Head Neck N2 - BACKGROUND: Medialization laryngoplasty has historically been performed through an external approach. The aim of our work is to demonstrate the feasibility of silastic vocal fold medialization transorally. METHODS: Patients with unilateral vocal fold paralysis requiring medialization laryngoplasty were included in this report. Silastic medialization was done through a transoral approach. A supraglottic laryngotomy is performed followed by dissection and tunneling in the paraglottic space. Silastic implant is inserted into the tunnel to medialize the vocal fold and the ipsilateral arytenoid. The laryngotomy is tightly closed by endoscopic sutures. RESULTS: A consecutive series of 22 patients are reported. All patients had dysphonia with significant glottic insufficiency. After endoscopic silastic medialization, voice and swallowing were significantly improved (P < .001). No postoperative complications or implant extrusion occurred in our series. CONCLUSION: Silastic vocal fold medialization can be safely and effectively performed through a transoral approach with good results on voice and swallowing. SN - 1097-0347 UR - https://www.unboundmedicine.com/medline/citation/31025790/Transoral_silastic_medialization_for_unilateral_vocal_fold_paralysis L2 - https://doi.org/10.1002/hed.25774 DB - PRIME DP - Unbound Medicine ER -