Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold Paralysis
ObjectivesA persistent insufficiency of glottal closure is mostly a consequence of impaired unilateral vocal fold movement. Functional surgical treatment is required because of the consequential voice, breathing and swallowing impairments. The goal of the study was to determine the functional voice...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Korean Society of Otorhinolaryngology-Head and Neck Surgery
2011-09-01
|
Series: | Clinical and Experimental Otorhinolaryngology |
Subjects: | |
Online Access: | http://www.e-ceo.org/upload/pdf/ceo-4-142.pdf |
_version_ | 1811312362723999744 |
---|---|
author | Tamer A. Mesallam Yasser A. Khalil Khalid H. Malki Mohamad Farahat |
author_facet | Tamer A. Mesallam Yasser A. Khalil Khalid H. Malki Mohamad Farahat |
author_sort | Tamer A. Mesallam |
collection | DOAJ |
description | ObjectivesA persistent insufficiency of glottal closure is mostly a consequence of impaired unilateral vocal fold movement. Functional surgical treatment is required because of the consequential voice, breathing and swallowing impairments. The goal of the study was to determine the functional voice outcomes after medialization thyroplasty with using autologous septal cartilage from the nose.MethodsExternal vocal fold medialization using autologous nasal septal cartilage was performed on 15 patients (6 females and 9 males; age range, 30 to 57 years). Detailed functional examinations were performed for all the patients before and after the surgery and this included perceptual voice assessment, laryngostroboscopic examination and acoustic voice analysis.ResultsAll the patients reported improvement of voice quality post-operatively. Laryngostroboscopy revealed almost complete glottal closure after surgery in the majority of patients. Acoustic and perceptual voice assessment showed significant improvement post-operatively.ConclusionMedialization thyroplasty using an autologous nasal septal cartilage implant offers good tissue tolerability and significant improvement of the subjective and objective functional voice outcomes. |
first_indexed | 2024-04-13T10:34:59Z |
format | Article |
id | doaj.art-9c66cde6b79d432f8d3445a26e5dadbc |
institution | Directory Open Access Journal |
issn | 1976-8710 2005-0720 |
language | English |
last_indexed | 2024-04-13T10:34:59Z |
publishDate | 2011-09-01 |
publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
record_format | Article |
series | Clinical and Experimental Otorhinolaryngology |
spelling | doaj.art-9c66cde6b79d432f8d3445a26e5dadbc2022-12-22T02:50:04ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202011-09-014314214810.3342/ceo.2011.4.3.142135Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold ParalysisTamer A. Mesallam0Yasser A. Khalil1Khalid H. Malki2Mohamad Farahat3Otolaryngology Department, Al-Menoufiya University College of Medicine, Shebin Alkoum, Egypt.Otolaryngology Department, Al-Menoufiya University College of Medicine, Shebin Alkoum, Egypt.Communication and Swallowing Disorders Unit, ENT Department, King Saud University, Riyadh, Saudi Arabia.Communication and Swallowing Disorders Unit, ENT Department, King Saud University, Riyadh, Saudi Arabia.ObjectivesA persistent insufficiency of glottal closure is mostly a consequence of impaired unilateral vocal fold movement. Functional surgical treatment is required because of the consequential voice, breathing and swallowing impairments. The goal of the study was to determine the functional voice outcomes after medialization thyroplasty with using autologous septal cartilage from the nose.MethodsExternal vocal fold medialization using autologous nasal septal cartilage was performed on 15 patients (6 females and 9 males; age range, 30 to 57 years). Detailed functional examinations were performed for all the patients before and after the surgery and this included perceptual voice assessment, laryngostroboscopic examination and acoustic voice analysis.ResultsAll the patients reported improvement of voice quality post-operatively. Laryngostroboscopy revealed almost complete glottal closure after surgery in the majority of patients. Acoustic and perceptual voice assessment showed significant improvement post-operatively.ConclusionMedialization thyroplasty using an autologous nasal septal cartilage implant offers good tissue tolerability and significant improvement of the subjective and objective functional voice outcomes.http://www.e-ceo.org/upload/pdf/ceo-4-142.pdfUnilateral vocal fold paralysisMedialization thyroplastyAutologous septal cartilage implant |
spellingShingle | Tamer A. Mesallam Yasser A. Khalil Khalid H. Malki Mohamad Farahat Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold Paralysis Clinical and Experimental Otorhinolaryngology Unilateral vocal fold paralysis Medialization thyroplasty Autologous septal cartilage implant |
title | Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold Paralysis |
title_full | Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold Paralysis |
title_fullStr | Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold Paralysis |
title_full_unstemmed | Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold Paralysis |
title_short | Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold Paralysis |
title_sort | medialization thyroplasty using autologous nasal septal cartilage for treating unilateral vocal fold paralysis |
topic | Unilateral vocal fold paralysis Medialization thyroplasty Autologous septal cartilage implant |
url | http://www.e-ceo.org/upload/pdf/ceo-4-142.pdf |
work_keys_str_mv | AT tameramesallam medializationthyroplastyusingautologousnasalseptalcartilagefortreatingunilateralvocalfoldparalysis AT yasserakhalil medializationthyroplastyusingautologousnasalseptalcartilagefortreatingunilateralvocalfoldparalysis AT khalidhmalki medializationthyroplastyusingautologousnasalseptalcartilagefortreatingunilateralvocalfoldparalysis AT mohamadfarahat medializationthyroplastyusingautologousnasalseptalcartilagefortreatingunilateralvocalfoldparalysis |