Abstract
The purpose of this paper is to describe a series of patients who have undergone medialisation thyroplasty (with or without arytenoid adduction) at our centre with respect to demographics, aetiology for unilateral vocal fold paralysis, pre- and postoperative maximum phonation time, amount of anterior and posterior medialisation required and complications. A comparative analysis with international studies was also performed. A retrospective analysis was performed on 67 patients, who underwent medialisation thyroplasty at our centre from August 2008 to August 2014. All the medialisation thyroplasty were performed using Netterville’s technique. The average anterior medialisation needed was 2.25 mm (SD 1.05 mm) while the average posterior medialisation needed was 6.75 mm (SD 1.79 mm). Our study is the first to determine the amount of anterior and posterior medialisation needed in the Indian population. Mean anterior and posterior medialisation required was found to be the same, regardless of the age, gender of the patient and side of surgery.
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References
Koufman AJ (1986) Laryngoplasty for vocal cord medialisation: an alternative to Teflon. Laryngoscope 96(7):726–731
Payr E (1915) Plastik am Schildknorpel zur Behebung der Folgen einseitiger Stimmbandla¨hmung. Dtsch Med Wochenschr 41:1264–1270
Isshiki N, Okamura H, Ishikawa T (1975) Thyroplasty Type 1 (Lateral compression) for dysphonia due to vocal cord paralysis or atrophy. Acta Otolaryngol 80:465–473
Netterville JL, Stone RE, Elizabeth SL, Francisco JC, Robert HO (1993) Silastic medialisation and arytenoid adduction: the Vanderbilt experience. A review of 116 phonosurgical procedures. Ann Otol Rhinol Laryngol 102:413–424
Wanamaker JR, Netterville JL, Robert HO (1993) Phonosurgery: silastic medialisation for unilateral vocal fold paralysis. Oper Tech Otolaryngol Head Neck Surg 4(3):207–217
Bhattacharyya N, Kotz T, Shapiro J (2002) Dysphagia and aspiration with unilateral vocal cord immobility: incidence, characterization, and response to surgical treatment. Ann Otol Rhinol Laryngol 111:672–679
Abraham MT, Gonen M, Kraus DH (2001) Complications of type I thyroplasty and arytenoids adduction. The Laryngoscope 111:1322–1329
Lundy DS, Casiano RR, Xue JW (2004) Can maximum phonation time predict voice outcome after thyroplasty type I? The Laryngoscope 114:1447–1454
Alghonaim Y, Roskies M, Kost K, Young J (2013) Evaluating the timing of injection laryngoplasty for vocal fold paralysis in an attempt to avoid future type 1 thyroplasty. J Otolaryngol Head Neck Surg 42:24. http://www.journalotohns.com/content/42/1/24. Accessed 10 Feb 2015
Suehro A, Hirano S, Kishimoto Y, Tanaka S, Ford CN (2009) Comparative study of vocal outcomes with silicone versus Gore-Tex thyroplasty. Ann Otol Rhinol Laryngol 118(6):405–408
Lu FL, Casiano RR, Lundy DS, Xue JW (1996) Longitudinal evaluation of vocal function after thyroplasty type I in the treatment of unilateral vocal paralysis. The laryngoscope 106:573–577
Chrobok V, Pellant A, Sram F et al (2008) Medialisation Thyroplasty with a Customised Silicone Implant: clinical Experience. Folia Phoniatr Logop 60(2):91–96
Blitzer A, Zeitels SM, Netterville JL, Meyer TK, Smith ME (2011) Vocal fold medialization, arytenoids adduction, and reinnervation. In: Neurol Disord Larynx Thieme, vol 15, 2nd edn:127–147
Bielamowicz S, Berke GS, Gerratt BR (1995) A comparison of type I thyroplasty and arytenoid adduction. J Voice 9(4):466–472
Leder SB, Sasaki CT (1994) Long term changes in vocal quality following Isshiki thyroplasty type I. The laryngoscope 104:275–277
Kraus DH, Orlikoff RF, Rizk SS, Db Rosenberg (1999) Arytenoid adduction as an adjunct to type I thyroplasty for unilateral vocal cord paralysis. Head Neck 21:52–59
Hamdan AL, Nassar J, Ashkar J, Sibai A (2011) Prevalance of arytenoid asymmetry in relation to vocal symptoms. J Laryngol Otol 125(3):282–287
Bonilha HS, O’Shields M, Gerlach TT, Deliyski DD (2009) Arytenoid adduction asymmetries in persons with and without voice disorders. Logop Phoniatr Vocol 34(3):128–134
Rosen CA (1998) Complications of phonosurgey: results of a nationl survey. The laryngoscope 108:1697–1998
Young VN, Zullo TG, Rosen CA (2010) Analysis of laryngeal framework surgery 10-year follow-up to a national survey. The laryngoscope 120:1602–1608
Cotter CS, Avidano MA, Crary MA, Cassisi NJ, Gorham MM (1995) Laryngeal complications after type I thyroplasty. Otolaryngol Head Neck Surg 113:671–673
Koufmann JA, Issacson G (1991) Laryngoplastic phonosurgery. Otolaryngol Clin N Am 24:1151–1177
Anderson TD, Spiegel JR, Sataloff RT (2003) Thyroplasty revisions: frequency and predictive factors. J Voice 17:442–448
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Nerurkar, N.K., Pawar, S.M. & Dighe, S.N. A comprehensive 6-year retrospective study on medialisation thyroplasty in the Indian population. Eur Arch Otorhinolaryngol 273, 1835–1840 (2016). https://doi.org/10.1007/s00405-016-3982-9
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DOI: https://doi.org/10.1007/s00405-016-3982-9