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Bilateral medialization thyroplasty in patients with vocal fold atrophy with or without sulcus.
Eur Arch Otorhinolaryngol. 2020 Jul; 277(7):2023-2029.EA

Abstract

PURPOSE

To evaluate voice outcome after bilateral medialization thyroplasty in patients with non-paralytic glottic insufficiency due to vocal fold atrophy with or without sulcus.

METHODS

Retrospective cohort study on 29 patients undergoing bilateral medialization thyroplasty for vocal fold atrophy (14 procedures) or atrophy with sulcus (15 procedures) between October 2012 and November 2017. Voice data were collected and analyzed for the preoperative and the 3- and 12-month postoperative time point according to a standardized protocol, including Voice Handicap Index (VHI)-30 and perceptual, acoustic and aerodynamic parameters. Failure rate was based on number of revisions within 12 months and non-relevant improvement (< 10 points) in VHI-30 at 12 months.

RESULTS

There was a clinically relevant (≥ 15 points) and statistically significant improvement (p < 0.0001) in the VHI-30 (preoperative: 55.8 points; postoperative at 12 months: 30.9 points). Fundamental frequency for male subjects decreased significantly from 175 to 159 Hz (p = 0.0001). The pre- and post-operative grade of dysphonia was significantly lower in patients with atrophy compared to atrophy and sulcus (mean difference 0.70, p = 0.017).

CONCLUSION

Bilateral medialization thyroplasty is a valid treatment option for patients with atrophy with or without sulcus. Outcomes are comparable to other methods reported in literature. However, there is a great need for larger, prospective studies with long-term follow-up to gain more insight into the comparative voice outcomes for the different forms of surgery for patients with glottic incompetence due to atrophy with or without sulcus.

Authors+Show Affiliations

Department of Otorhinolaryngology/Head and Neck Surgery, Leiden University Medical Center, Albinusdreef 2, PO-Box 9600, 2300 RC, Leiden, The Netherlands. e.m.j.m.van_den_broek@lumc.nl. Department of Otorhinolaryngology/Head and Neck Surgery, University Medical Center, Utrecht, The Netherlands. e.m.j.m.van_den_broek@lumc.nl.Department of Otorhinolaryngology/Head and Neck Surgery, Leiden University Medical Center, Albinusdreef 2, PO-Box 9600, 2300 RC, Leiden, The Netherlands.Department of Otorhinolaryngology/Head and Neck Surgery, Leiden University Medical Center, Albinusdreef 2, PO-Box 9600, 2300 RC, Leiden, The Netherlands.Department of Otorhinolaryngology/Head and Neck Surgery, Leiden University Medical Center, Albinusdreef 2, PO-Box 9600, 2300 RC, Leiden, The Netherlands.Department of Otorhinolaryngology/Head and Neck Surgery, Leiden University Medical Center, Albinusdreef 2, PO-Box 9600, 2300 RC, Leiden, The Netherlands.Department of Otorhinolaryngology/Head and Neck Surgery, Leiden University Medical Center, Albinusdreef 2, PO-Box 9600, 2300 RC, Leiden, The Netherlands.Department of Otorhinolaryngology/Head and Neck Surgery, Leiden University Medical Center, Albinusdreef 2, PO-Box 9600, 2300 RC, Leiden, The Netherlands.Department of Otorhinolaryngology/Head and Neck Surgery, Leiden University Medical Center, Albinusdreef 2, PO-Box 9600, 2300 RC, Leiden, The Netherlands.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32240365

Citation

van den Broek, Emke M J M., et al. "Bilateral Medialization Thyroplasty in Patients With Vocal Fold Atrophy With or Without Sulcus." European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated With the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, vol. 277, no. 7, 2020, pp. 2023-2029.
van den Broek EMJM, Heijnen BJ, Hendriksma M, et al. Bilateral medialization thyroplasty in patients with vocal fold atrophy with or without sulcus. Eur Arch Otorhinolaryngol. 2020;277(7):2023-2029.
van den Broek, E. M. J. M., Heijnen, B. J., Hendriksma, M., van de Kamp-Lam, V. A. H., Verhagen, T. O., Langeveld, A. P. M., van Benthem, P. P. G., & Sjögren, E. V. (2020). Bilateral medialization thyroplasty in patients with vocal fold atrophy with or without sulcus. European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated With the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 277(7), 2023-2029. https://doi.org/10.1007/s00405-020-05933-9
van den Broek EMJM, et al. Bilateral Medialization Thyroplasty in Patients With Vocal Fold Atrophy With or Without Sulcus. Eur Arch Otorhinolaryngol. 2020;277(7):2023-2029. PubMed PMID: 32240365.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Bilateral medialization thyroplasty in patients with vocal fold atrophy with or without sulcus. AU - van den Broek,Emke M J M, AU - Heijnen,Bas J, AU - Hendriksma,Martine, AU - van de Kamp-Lam,Vivienne A H, AU - Verhagen,Thijs O, AU - Langeveld,Antonius P M, AU - van Benthem,Peter Paul G, AU - Sjögren,Elisabeth V, Y1 - 2020/04/02/ PY - 2020/01/03/received PY - 2020/03/17/accepted PY - 2020/4/3/pubmed PY - 2020/4/3/medline PY - 2020/4/3/entrez KW - Bilateral medialization thyroplasty KW - Glottic insufficiency KW - Laryngeal framework surgery KW - Sulcus KW - Type 1 thyroplasty KW - Vocal fold atrophy SP - 2023 EP - 2029 JF - European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery JO - Eur Arch Otorhinolaryngol VL - 277 IS - 7 N2 - PURPOSE: To evaluate voice outcome after bilateral medialization thyroplasty in patients with non-paralytic glottic insufficiency due to vocal fold atrophy with or without sulcus. METHODS: Retrospective cohort study on 29 patients undergoing bilateral medialization thyroplasty for vocal fold atrophy (14 procedures) or atrophy with sulcus (15 procedures) between October 2012 and November 2017. Voice data were collected and analyzed for the preoperative and the 3- and 12-month postoperative time point according to a standardized protocol, including Voice Handicap Index (VHI)-30 and perceptual, acoustic and aerodynamic parameters. Failure rate was based on number of revisions within 12 months and non-relevant improvement (< 10 points) in VHI-30 at 12 months. RESULTS: There was a clinically relevant (≥ 15 points) and statistically significant improvement (p < 0.0001) in the VHI-30 (preoperative: 55.8 points; postoperative at 12 months: 30.9 points). Fundamental frequency for male subjects decreased significantly from 175 to 159 Hz (p = 0.0001). The pre- and post-operative grade of dysphonia was significantly lower in patients with atrophy compared to atrophy and sulcus (mean difference 0.70, p = 0.017). CONCLUSION: Bilateral medialization thyroplasty is a valid treatment option for patients with atrophy with or without sulcus. Outcomes are comparable to other methods reported in literature. However, there is a great need for larger, prospective studies with long-term follow-up to gain more insight into the comparative voice outcomes for the different forms of surgery for patients with glottic incompetence due to atrophy with or without sulcus. SN - 1434-4726 UR - https://www.unboundmedicine.com/medline/citation/32240365/Bilateral_medialization_thyroplasty_in_patients_with_vocal_fold_atrophy_with_or_without_sulcus L2 - https://dx.doi.org/10.1007/s00405-020-05933-9 DB - PRIME DP - Unbound Medicine ER -
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