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Unbound Medicine.
(thyroplasty)
1,351 results
  • Thyroplasty Type III to Lower the Vocal Pitch in Trans Men. [Journal Article]
    Otolaryngol Head Neck Surg. 2020 Jun 30 [Online ahead of print]Bultynck C, Cosyns M, … Bonte K
  • About 20% of trans men do not achieve cisgender male frequencies (F0≤131 Hz) after gender-affirming hormone treatment (GAHT) with testosterone. The surgical procedure Isshiki thyroplasty type III (TPIII) is described to lower F0, but data on this technique in trans men are lacking. In this study, 8 trans men, unsatisfied with their voice after a minimum of 12 months of GAHT, underwent TPIII to lo…
  • On-site testing of sutured organs: An experimental set up to cyclically tighten sutures. [Journal Article]
    J Mech Behav Biomed Mater. 2020 May 01; 109:103803.Pascoletti G, Pressanto MC, … Zanetti EM
  • A number of surgical practices are aimed to compensate for tissue relaxation or weakened/atrophied muscles by means of suture prostheses/thread lifts. The success rate of these procedures is often very good in the short term, while it is quite variable among subjects and techniques in the middle-long term. Middle-long term failures are mostly related to suture distraction, loosening or wear, comi…
  • Phenotypic spectrum of typical CHARGE syndrome in a Chinese male neonate: a case report. [Case Reports]
    Transl Pediatr. 2020 Apr; 9(2):180-186.Sun Y, Sun J, … Ma L
  • CHARGE syndrome is a rare and complex disorder, causing multiple birth defects and sensory deficits. The CHD7 gene was proved to be the major pathogenic gene in CHARGE syndrome. To date, the phenotype of neonatal CHARGE syndrome is still poorly recognized. In this paper, we report a Chinese neonate with typical CHARGE syndrome. During his stay in the neonatal intensive care unit of our hospital, …
  • Management of presbyphonia: A systematic review of the efficacy of surgical intervention. [Review]
    Am J Otolaryngol. 2020 May 05 [Online ahead of print]Brown HJ, Zhou D, Husain IA
  • CONCLUSIONS: Surgical modalities currently utilized for presbyphonia include IT and IA, with bFGF-injection being trialed abroad. IT patients reported enhanced QoL relative to IA and bFGF-injected patients. Overall there is a paucity of high-power, prospective studies that explore the efficacy of these modalities. Moreover, wide variability exists in reported outcomes among published studies.
  • [Update on vocal fold augmentation]. [Journal Article]
    HNO. 2020 Jun; 68(6):461-472.Reiter R, Pickhard A, … Hoffmann TK
  • Unilateral vocal fold palsy is a frequent cause of hoarseness. In the presence of glottis closure insufficiency, the effectiveness of conservative voice therapy is often limited and phonosurgery may be indicated. Injection laryngoplasty is effective for correction of insufficiency. Early intervention during the first 6 months after diagnosis is desired to avoid subsequent insufficient endogenous …
  • Ongoing Laryngeal Stenosis: Conservative Management and Alternatives to Tracheostomy. [Systematic Review]
    Front Pediatr. 2020; 8:161.Schweiger C, Manica D
  • Background: Following tracheal intubation, some children may develop stridor, which is an indication of an obstructive lesion in the airway, such as an ongoing laryngeal stenosis (LS). This review focuses on evaluation of stridor and possible endoscopic predictors of progression to LS and, once post-intubation acute lesions are established, therapeutic choices to manage this disorder in avoidanc…
  • Volumetric measures of the paralyzed vocal fold using computerized tomography; its clinical implication. [Journal Article]
    Logoped Phoniatr Vocol. 2020 Apr 22 [Online ahead of print]Hamdan AL, Khalifee E, … Hourani R
  • CONCLUSIONS: Volumetric measurements of the paralyzed vocal fold in comparison to the normal vocal fold in a group of 21 patients with unilateral vocal fold paralysis shows the presence of significant difference between the normal and affected site, and the presence of large inter-subject variation. Information on the volume difference between the two vocal folds may be used to better estimate the amount that needs to be injected in medialization procedures.
  • Early Management of Acute Unilateral Vocal Fold Paralysis: Update of the Literature. [Journal Article]
    J Voice. 2020 Apr 03 [Online ahead of print]Marques JAS, Marronnier A, … Marie JP
  • CONCLUSIONS: Early intracordal injection should be offered to patients with newly diagnosed UVFP since it promotes a satisfactory position of the vocal fold and seems to improve clinical outcomes. More investigation, with long-term follow up data and treatment randomization, is necessary to develop clinical consensus for these patients.
  • Bilateral medialization thyroplasty in patients with vocal fold atrophy with or without sulcus. [Journal Article]
    Eur Arch Otorhinolaryngol. 2020 Jul; 277(7):2023-2029.van den Broek EMJM, Heijnen BJ, … Sjögren EV
  • CONCLUSIONS: 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.
  • Evaluating Safety of Awake, Bilateral Injection Laryngoplasty for Bilateral Vocal Fold Atrophy. [Journal Article]
    J Voice. 2020 Mar 07 [Online ahead of print]Kelly Z, Patel AK, Klein AM
  • CONCLUSIONS: This study illustrates a low complication rate for awake, bilateral IL in treating bilateral VF atrophy. This supports other studies that promote the safety of this procedure in the awake setting. Complications were associated with patient tolerance, unique anatomy, and in one case, anticoagulant medication. The low complication rate supports the conclusion that bilateral medialization IL is safe to perform in the office-based, awake setting.
  • Effects of thyroplasty implant stiffness on glottal shape and voice acoustics. [Journal Article]
    Laryngoscope Investig Otolaryngol. 2020 Feb; 5(1):82-89.Cameron BH, Zhang Z, Chhetri DK
  • CONCLUSIONS: Softer implants result in less medialization but better acoustics at low airflow rates. Stiffer implants provide better acoustics and more stable pressure-flow relationships at higher airflow rates. This highlights a potential role for patient-specific customized thyroplasty implants of various stiffness levels.
  • Vocal Fold Paralysis Secondary to Subclavian Venous Thrombosis. [Journal Article]
    J Voice. 2020 Feb 20 [Online ahead of print]Hamdan AL, Dabbous H
  • The etiology of vocal fold paralysis is multifaceted. One of the rare causes is internal jugular vein thrombosis secondary to central venous catheterization. The palsy is usually ipsilateral to the site of indwelled catheterization, self-limited and reversible. The authors of this manuscript report a rare case of contralateral recurrent laryngeal nerve palsy induced by subclavian vein thrombosis …
  • Role of injection laryngoplasty in preventing post-stroke aspiration pneumonia, case series report. [Case Reports]
    Medicine (Baltimore). 2020 Feb; 99(7):e19220.Han YJ, Jang YJ, … Im S
  • CONCLUSIONS: Injection laryngoplasty proved to be both successful and safe in improving glottic closure with immediate results in those who had failed to show a positive response after long-term swallowing rehabilitation. The positive and dramatic clinical outcomes were observed through changes in the coughing force. Our case series support the use of injection larygnoplasty as a powerful adjunctive treatment method to prevent aspiration pneumonia in post-stroke patients with vocal fold insufficiency. Pre- and post-injection peak cough flow changes may reflect improvement in glottic closure and indicate the safety of swallowing with reduced risk of aspiration.
  • Management of postoperative dysphagia after prosthetic laryngoplasty or arytenoidectomy. [Journal Article]
    Vet Surg. 2020 Apr; 49(3):529-539.Luedke LK, Cheetham J, … Ducharme NG
  • CONCLUSIONS: Vocal fold augmentation resulted in resolution of symptoms relating to dysphagia in 81% of horses. Twenty percent of horses treated with LPR had sustained resolution of dysphagia. A combination of LPR, VFA, LTF was performed in 18% of horses.Treatment options directed at altering laryngeal geometry and/or position of the larynx were successful in resolving 86% of dysphagia in horses previously regarded as very difficult to treat.
  • Three-dimensional vocal fold structural change due to implant insertion in medialization laryngoplasty. [Journal Article]
    PLoS One. 2020; 15(1):e0228464.Zhang Z, Wu L, … Chhetri DK
  • Glottal insufficiency due to vocal fold paralysis, paresis, or atrophy often leads to degraded voice quality. One of the primary surgical intervention procedures to treat glottal insufficiency is medialization laryngoplasty, in which an implant is inserted through a lateral window on the thyroid cartilage to medialize the vocal folds. While the goal of medialization is to modify the vocal fold st…
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