Options for treatment of a small glottic gap
Abstract Background Glottic insufficiency, or glottic gap as it is commonly called, is a common cause of dysphonia, producing symptoms of soft voice, decreased projection, and vocal fatigue. The etiology of glottic gap can occur from issues related to muscle atrophy, neurologic impairment, structura...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-06-01
|
| Series: | Laryngoscope Investigative Otolaryngology |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lio2.1060 |
| _version_ | 1797800279189487616 |
|---|---|
| author | Yolanda D. Heman‐Ackah Chandra M. Ivey Ronda Alexander |
| author_facet | Yolanda D. Heman‐Ackah Chandra M. Ivey Ronda Alexander |
| author_sort | Yolanda D. Heman‐Ackah |
| collection | DOAJ |
| description | Abstract Background Glottic insufficiency, or glottic gap as it is commonly called, is a common cause of dysphonia, producing symptoms of soft voice, decreased projection, and vocal fatigue. The etiology of glottic gap can occur from issues related to muscle atrophy, neurologic impairment, structural abnormalities, and trauma related causes. Treatment of glottic gap can include surgical and behavioral therapies or a combination of the two. When surgery is chosen, closure of the glottic gap is the primary goal. Options for surgical management include injection medialization, thyroplasty, and other methods of medializing the vocal folds. Methods This manuscript reviews the current literature regarding the options for treatment of glottic gap. Discussion This manuscript discusses options for treatment of glottic gap, including the indications for temporary and permanent treatment modalities; the differences between the available materials for injection medialization laryngoplasty and how they affect the vibratory function of the vocal folds and vocal outcome; and the evidence that supports an algorithm for treatment of glottic gap. Level of Evidence 3a—Systematic review of case–control studies. |
| first_indexed | 2024-03-13T04:31:43Z |
| format | Article |
| id | doaj.art-2baa3e314c8b45098a207dd0f5cdf1af |
| institution | Directory Open Access Journal |
| issn | 2378-8038 |
| language | English |
| last_indexed | 2024-03-13T04:31:43Z |
| publishDate | 2023-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Laryngoscope Investigative Otolaryngology |
| spelling | doaj.art-2baa3e314c8b45098a207dd0f5cdf1af2023-06-19T10:16:46ZengWileyLaryngoscope Investigative Otolaryngology2378-80382023-06-018372072910.1002/lio2.1060Options for treatment of a small glottic gapYolanda D. Heman‐Ackah0Chandra M. Ivey1Ronda Alexander2Department of Otolaryngology‐Head and Neck Surgery UF Health Jacksonville Jacksonville Florida USAENT and Allergy Associates New York New York USAMontefiore Medical Center Bronx New York USAAbstract Background Glottic insufficiency, or glottic gap as it is commonly called, is a common cause of dysphonia, producing symptoms of soft voice, decreased projection, and vocal fatigue. The etiology of glottic gap can occur from issues related to muscle atrophy, neurologic impairment, structural abnormalities, and trauma related causes. Treatment of glottic gap can include surgical and behavioral therapies or a combination of the two. When surgery is chosen, closure of the glottic gap is the primary goal. Options for surgical management include injection medialization, thyroplasty, and other methods of medializing the vocal folds. Methods This manuscript reviews the current literature regarding the options for treatment of glottic gap. Discussion This manuscript discusses options for treatment of glottic gap, including the indications for temporary and permanent treatment modalities; the differences between the available materials for injection medialization laryngoplasty and how they affect the vibratory function of the vocal folds and vocal outcome; and the evidence that supports an algorithm for treatment of glottic gap. Level of Evidence 3a—Systematic review of case–control studies.https://doi.org/10.1002/lio2.1060glottic gapinjection laryngoplastythyroplastyvocal paresis |
| spellingShingle | Yolanda D. Heman‐Ackah Chandra M. Ivey Ronda Alexander Options for treatment of a small glottic gap Laryngoscope Investigative Otolaryngology glottic gap injection laryngoplasty thyroplasty vocal paresis |
| title | Options for treatment of a small glottic gap |
| title_full | Options for treatment of a small glottic gap |
| title_fullStr | Options for treatment of a small glottic gap |
| title_full_unstemmed | Options for treatment of a small glottic gap |
| title_short | Options for treatment of a small glottic gap |
| title_sort | options for treatment of a small glottic gap |
| topic | glottic gap injection laryngoplasty thyroplasty vocal paresis |
| url | https://doi.org/10.1002/lio2.1060 |
| work_keys_str_mv | AT yolandadhemanackah optionsfortreatmentofasmallglotticgap AT chandramivey optionsfortreatmentofasmallglotticgap AT rondaalexander optionsfortreatmentofasmallglotticgap |