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Framework Surgery

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Neurolaryngology

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Abstract

Framework surgery is a widely accepted treatment for vocal fold paralysis; however indications have expanded over time to include other forms of glottal insufficiency. Vocal fold paralysis is the clinical entity that frames our understanding and the historical concepts of what is today known as framework surgery. Over many years adjunct procedures, modifications, and improved clinical evaluation have benefited clinical outcomes. Furthermore, vocal patients can be compared in a number of different measures including visual (videostroboscopy), acoustic (noise-to-harmonic ratio, jitter, shimmer, etc.), and quality of life (voice handicap index, etc.). Initially shaped by our gross anatomic knowledge, fine-tuned by the cover-body theory of vocal fold vibration, and finally research-driven changes based on the biomechanical model will allow us to further improve vocal outcomes in glottal insufficiency with respect to framework surgery.

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References

  1. Crumley RL, Izdebski K. Voice quality following laryngeal reinnervation by ansa hypoglossi transfer. Laryngoscope. 1986;96(6):611–6.

    Article  CAS  PubMed  Google Scholar 

  2. Arnold GE. Paralytic dysphonia. Methods of vocal rehabilitation. Eye Ear Nose Throat Mon. 1964;43:27–36.

    CAS  PubMed  Google Scholar 

  3. Arnold GE. Vocal rehabilitation of paralytic dysphonia. III. Present concepts of laryngeal paralysis. AMA Arch Otolaryngol. 1957;65(4):317–36.

    Article  CAS  PubMed  Google Scholar 

  4. Isshiki N, Morita H, Okamura H, Hiramoto M. Thyroplasty as a new phonosurgical technique. Acta Otolaryngol. 1974;78(5–6):451–7.

    Article  CAS  PubMed  Google Scholar 

  5. Koufman JA, Isaacson G. Laryngoplastic phonosurgery. Otolaryngol Clin N Am. 1991;24(5):1151–77.

    CAS  Google Scholar 

  6. Isshiki N. Recent advances in phonosurgery. Folia Phoniatr (Basel). 1980;32(2):119–54.

    Article  CAS  Google Scholar 

  7. Netterville JL, Stone RE, Luken ES, Civantos FJ, Ossoff RH. Silastic medialization and arytenoid adduction: the vanderbilt experience. A review of 116 phonosurgical procedures. Ann Otol Rhinol Laryngol. 1993;102(6):413–24.

    Article  CAS  PubMed  Google Scholar 

  8. Koufman JA. Laryngoplasty for vocal cord medialization: an alternative to teflon. Laryngoscope. 1986;96(7):726–31.

    Article  CAS  PubMed  Google Scholar 

  9. Isshiki N, Tanabe M, Sawada M. Arytenoid adduction for unilateral vocal cord paralysis. Arch Otolaryngol. 1978;104(10):555–8.

    Article  CAS  PubMed  Google Scholar 

  10. Woodson GE, Picerno R, Yeung D, Hengesteg A. Arytenoid adduction: controlling vertical position. Ann Otol Rhinol Laryngol. 2000;109(4):360–4.

    Article  CAS  PubMed  Google Scholar 

  11. Zeitels SM, Hillman RE, Desloge RB, Bunting GA. Cricothyroid subluxation: a new innovation for enhancing the voice with laryngoplastic phonosurgery. Ann Otol Rhinol Laryngol. 1999;108(12):1126–31.

    Article  CAS  PubMed  Google Scholar 

  12. Zeitels SM, Mauri M, Dailey SH. Adduction arytenopexy for vocal fold paralysis: indications and technique. J Laryngol Otol. 2004;118(7):508–16.

    Article  PubMed  Google Scholar 

  13. Sprinzl GM, Eckel HE, Sittel C, Pototschnig C, Koebke J. Morphometric measurements of the cartilaginous larynx: an anatomic correlate of laryngeal surgery. Head Neck. 1999;21(8):743–50.

    Article  CAS  PubMed  Google Scholar 

  14. Armin BB, Head C, Berke GS, Chhetri DK. Useful landmarks in arytenoid adduction and laryngeal reinnervation surgery. Laryngoscope. 2006;116(10):1755–9.

    Article  PubMed  Google Scholar 

  15. Neuman TR, Hengesteg A, Lepage RP, Kaufman KR, Woodson GE. Three-dimensional motion of the arytenoid adduction procedure in cadaver larynges. Ann Otol Rhinol Laryngol. 1994;103(4 Pt 1):265–70.

    Article  CAS  PubMed  Google Scholar 

  16. Maranillo E, Leon X, Orus C, Quer M, Sanudo JR. Variability in nerve patterns of the adductor muscle group supplied by the recurrent laryngeal nerve. Laryngoscope. 2005;115(2):358–62.

    Article  PubMed  Google Scholar 

  17. Sanudo JR, Maranillo E, Leon X, Mirapeix RM, Orus C, Quer M. An anatomical study of anastomoses between the laryngeal nerves. Laryngoscope. 1999;109(6):983–7.

    Article  CAS  PubMed  Google Scholar 

  18. Masuoka H, Miyauchi A, Yabuta T, Fukushima M, Miya A. Innervation of the cricothyroid muscle by the recurrent laryngeal nerve. Head Neck. 2015;38(Suppl 1):E441–5.

    PubMed  Google Scholar 

  19. Woodson GE. Spontaneous laryngeal reinnervation after recurrent laryngeal or vagus nerve injury. Ann Otol Rhinol Laryngol. 2007;116(1):57–65.

    Article  PubMed  Google Scholar 

  20. Woodson G. Arytenoid abduction: indications and limitations. Ann Otol Rhinol Laryngol. 2010;119(11):742–8.

    PubMed  Google Scholar 

  21. VAN DEN, BERG J, TAN TS. Results of experiments with human larynxes. Pract Otorhinolaryngol (Basel). 1959;21:425–50.

    Google Scholar 

  22. Isshiki N. Vocal mechanics as the basis for phonosurgery. Laryngoscope. 1998;108(12):1761–6.

    Article  CAS  PubMed  Google Scholar 

  23. Noordzij JP, Perrault DF Jr, Woo P. Biomechanics of arytenoid adduction surgery in an ex vivo canine model. Ann Otol Rhinol Laryngol. 1998;107(6):454–61.

    Article  CAS  PubMed  Google Scholar 

  24. Bielamowicz S, Berke GS, Gerratt BR. A comparison of type I thyroplasty and arytenoid adduction. J Voice. 1995;9(4):466–72.

    Article  CAS  PubMed  Google Scholar 

  25. Behrman A. Evidence-based treatment of paralytic dysphonia: making sense of outcomes and efficacy data. Otolaryngol Clin N Am. 2004;37(1):75–104. vi

    Article  Google Scholar 

  26. Li AJ, Johns MM, Jackson-Menaldi C, et al. Glottic closure patterns: type I thyroplasty versus type I thyroplasty with arytenoid adduction. J Voice. 2011;25(3):259–64.

    Article  PubMed  Google Scholar 

  27. McNamar J, Montequin DW, Welham NV, Dailey SH. Aerodynamic, acoustic, and vibratory comparison of arytenoid adduction and adduction arytenopexy. Laryngoscope. 2008;118(3):552–8.

    Article  PubMed  Google Scholar 

  28. Fang TJ, Tam YY, Courey MS, Li HY, Chiang HC. Unilateral high vagal paralysis: relationship of the severity of swallowing disturbance and types of injuries. Laryngoscope. 2011;121(2):245–9.

    Article  PubMed  Google Scholar 

  29. Anderson TD, Spiegel JR, Sataloff RT. Thyroplasty revisions: frequency and predictive factors. J Voice. 2003;17(3):442–8.

    Article  PubMed  Google Scholar 

  30. Postma GN, Blalock PD, Koufman JA. Bilateral medialization laryngoplasty. Laryngoscope. 1998;108(10):1429–34.

    Article  CAS  PubMed  Google Scholar 

  31. Zeitels SM, Mauri M, Dailey SH. Medialization laryngoplasty with gore-tex for voice restoration secondary to glottal incompetence: indications and observations. Ann Otol Rhinol Laryngol. 2003;112(2):180–4.

    Article  PubMed  Google Scholar 

  32. Montgomery WW, Blaugrund SM, Varvares MA. Thyroplasty: a new approach. Ann Otol Rhinol Laryngol. 1993;102(8 Pt 1):571–9.

    Article  CAS  PubMed  Google Scholar 

  33. Montgomery WW, Montgomery SK. Montgomery thyroplasty implant system. Ann Otol Rhinol Laryngol Suppl. 1997;170:1–16.

    CAS  PubMed  Google Scholar 

  34. McCulloch TM, Hoffman HT. Medialization laryngoplasty with expanded polytetrafluoroethylene. Surgical technique and preliminary results. Ann Otol Rhinol Laryngol. 1998;107(5 Pt 1):427–32.

    Article  CAS  PubMed  Google Scholar 

  35. Stasney CR, Beaver ME, Rodriguez M. Minifenestration type I thyroplasty using an expanded polytetrafluoroethylene implant. J Voice. 2001;15(1):151–7.

    Article  CAS  PubMed  Google Scholar 

  36. Cohen JT, Bates DD, Postma GN. Revision gore-tex medialization laryngoplasty. Otolaryngol Head Neck Surg. 2004;131(3):236–40.

    Article  PubMed  Google Scholar 

  37. Isshiki N, Taira T, Tanabe M. Surgical alteration of the vocal pitch. J Otolaryngol. 1983;12(5):335–40.

    CAS  PubMed  Google Scholar 

  38. Tucker HM. Laryngeal framework surgery in the management of spasmodic dysphonia. Preliminary report. Ann Otol Rhinol Laryngol. 1989;98(1 Pt 1):52–4.

    Article  CAS  PubMed  Google Scholar 

  39. Bryant NJ, Woodson GE, Kaufman K, et al. Human posterior cricoarytenoid muscle compartments. Anatomy and mechanics. Arch Otolaryngol Head Neck Surg. 1996;122(12):1331–6.

    Article  CAS  PubMed  Google Scholar 

  40. Woodson G, Weiss T. Arytenoid abduction for dynamic rehabilitation of bilateral laryngeal paralysis. Ann Otol Rhinol Laryngol. 2007;116(7):483–90.

    Article  PubMed  Google Scholar 

  41. Tucker HM. Human laryngeal reinnervation. Laryngoscope. 1976;86(6):769–79.

    Article  CAS  PubMed  Google Scholar 

  42. Paniello RC. Laryngeal reinnervation. Otolaryngol Clin N Am. 2004;37(1):161–81.

    Article  Google Scholar 

  43. Crumley RL. Selective reinnervation of vocal cord adductors in unilateral vocal cord paralysis. Ann Otol Rhinol Laryngol. 1984;93(4 Pt 1):351–6.

    Article  CAS  PubMed  Google Scholar 

  44. Titze IR. Comments on the myoelastic - aerodynamic theory of phonation. J Speech Hear Res. 1980;23(3):495–510.

    Article  CAS  PubMed  Google Scholar 

  45. Paniello RC, Edgar JD, Kallogjeri D, Piccirillo JF. Medialization versus reinnervation for unilateral vocal fold paralysis: a multicenter randomized clinical trial. Laryngoscope. 2011;121(10):2172–9.

    Article  PubMed  PubMed Central  Google Scholar 

  46. Blumin JH, Merati AL. Laryngeal reinnervation with nerve-nerve anastomosis versus laryngeal framework surgery alone: a comparison of safety. Otolaryngol Head Neck Surg. 2008;138(2):217–20.

    Article  PubMed  Google Scholar 

  47. Shen T, Damrose EJ, Morzaria S. A meta-analysis of voice outcome comparing calcium hydroxylapatite injection laryngoplasty to silicone thyroplasty. Otolaryngol Head Neck Surg. 2013;148(2):197–208.

    Article  PubMed  Google Scholar 

  48. Nouwen J, Hans S, De Mones E, Brasnu D, Crevier-Buchman L, Laccourreye O. Thyroplasty type I without arytenoid adduction in patients with unilateral laryngeal nerve paralysis: the montgomery implant versus the gore-tex implant. Acta Otolaryngol. 2004;124(6):732–8.

    Article  PubMed  Google Scholar 

  49. Hoffman MR, Witt RE, Chapin WJ, McCulloch TM, Jiang JJ. Multiparameter comparison of injection laryngoplasty, medialization laryngoplasty, and arytenoid adduction in an excised larynx model. Laryngoscope. 2010;120(4):769–76.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Spector BC, Netterville JL, Billante C, Clary J, Reinisch L, Smith TL. Quality-of-life assessment in patients with unilateral vocal cord paralysis. Otolaryngol Head Neck Surg. 2001;125(3):176–82.

    Article  CAS  PubMed  Google Scholar 

  51. Lundy DS, Casiano RR, Xue JW. Can maximum phonation time predict voice outcome after thyroplasty type I? Laryngoscope. 2004;114(8):1447–54.

    Article  PubMed  Google Scholar 

  52. Lundy DS, Casiano RR, Xue JW, Lu FL. Thyroplasty type I: short- versus long-term results. Otolaryngol Head Neck Surg. 2000;122(4):533–6.

    CAS  PubMed  Google Scholar 

  53. Hogikyan ND, Wodchis WP, Terrell JE, Bradford CR, Esclamado RM. Voice-related quality of life (V-RQOL) following type I thyroplasty for unilateral vocal fold paralysis. J Voice. 2000;14(3):378–86.

    Article  CAS  PubMed  Google Scholar 

  54. Jacobson B, Johnson A, Grywalsky C. The voice handicap index (VHI): development and validation. Am J Speech Lang Pathol. 1997;6:66–70.

    Article  Google Scholar 

  55. Young VN, Zullo TG, Rosen CA. Analysis of laryngeal framework surgery: 10-year follow-up to a national survey. Laryngoscope. 2010;120(8):1602–8.

    Article  PubMed  Google Scholar 

  56. Rosen CA. Complications of phonosurgery: results of a national survey. Laryngoscope. 1998;108(11 Pt 1):1697–703.

    Article  CAS  PubMed  Google Scholar 

  57. Cotter CS, Avidano MA, Crary MA, Cassisi NJ, Gorham MM. Laryngeal complications after type 1 thyroplasty. Otolaryngol Head Neck Surg. 1995;113(6):671–3.

    Article  CAS  PubMed  Google Scholar 

  58. Halum SL, Postma GN, Koufman JA. Endoscopic management of extruding medialization laryngoplasty implants. Laryngoscope. 2005;115(6):1051–4.

    Article  PubMed  Google Scholar 

  59. Orestes MI, Neubauer J, Sofer E, Salinas J, Chhetri DK. Phonatory effects of type I thyroplasty implant shape and depth of medialization in unilateral vocal fold paralysis. Laryngoscope. 2014;124(12):2791–6.

    Article  PubMed  PubMed Central  Google Scholar 

  60. Khosla S, Oren L, Ying J, Gutmark E. Direct simultaneous measurement of intraglottal geometry and velocity fields in excised larynges. Laryngoscope. 2014;124(Suppl 2):S1–13.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Otolaryngology, Head and Neck Surgery, University of Cincinnati, 231 Albert Sabin Way, ML # 0528, Cincinnati, OH, 45267-0528, USA

    Rebecca J. Howell

  2. Otolaryngology, Medical College of Georgia at Augusta University, 1120, 15th Street, Augusta, GA , 30912, USA

    Gregory N. Postma

Authors
  1. Rebecca J. Howell
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  2. Gregory N. Postma
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Correspondence to Gregory N. Postma .

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Editors and Affiliations

  1. Department of Otorhinolaryngology/Head and Neck Surgery, Clinical Centre Stuttgart, Stuttgart, Germany

    Christian Sittel

  2. Department of Otorhinolaryngology and Institute of Phoniatry and Pedaudiology, Jena University Hospital, Jena, Germany

    Orlando Guntinas-Lichius

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Howell, R.J., Postma, G.N. (2018). Framework Surgery. In: Sittel, C., Guntinas-Lichius, O. (eds) Neurolaryngology. Springer, Cham. https://doi.org/10.1007/978-3-319-61724-4_12

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  • DOI: https://doi.org/10.1007/978-3-319-61724-4_12

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  • Online ISBN: 978-3-319-61724-4

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