Endoscopic Partial Arytenoidectomy for Bilateral Vocal Fold Paralysis: Medially Based Mucosal Flap Technique

Journal of Voice : Official Journal of the Voice Foundation
Taner Yılmaz

Abstract

Endoscopic partial arytenoidectomy (EPA) is one of the static operations for treatment of bilateral vocal fold paralysis (BVFP). Improvement in airway may cause voice loss and aspiration. The author reports his experience on EPA using medially based mucosal flap to enlarge posterior glottis without removing any part of membranous vocal fold. Sixty-four consecutive patients with BVFP underwent EPA. Pre- and postoperative evaluations included Voice Handicap Index-30, aerodynamic and acoustic analysis, flow volume loops, perceptual evaluation of pre- and postoperative voice using grade, roughness, breathiness, asthenia, strain (GRBAS) scale, speech intensity, breathing ability evaluation, and functional outcome swallowing scale. Nine patients had preoperative tracheotomy and one patient required postoperative tracheotomy. All tracheotomized patients were decannulated 1 month after surgery. Fifty-six patients (88%) did not report dyspnea in their daily activities and were considered satisfied with their postoperative airway; eight patients required revision: seven total arytenoidectomy and one posterior cricoid split with costal cartilage grafting. All Voice Handicap Index-30 results and all acoustic results (except fundamental fre...Continue Reading

References

Sep 1, 1991·The Annals of Otology, Rhinology, and Laryngology·H K Kashima
Dec 1, 1989·The Annals of Otology, Rhinology, and Laryngology·D P Dennis, H Kashima
Feb 1, 1993·The Annals of Otology, Rhinology, and Laryngology·R L Crumley
Sep 17, 1998·The Laryngoscope·M S BenningerJ S Altman
Dec 16, 1998·The Laryngoscope·N Isshiki
Oct 18, 2001·Acta Oto-laryngologica·N Isshiki
Mar 11, 2005·The Annals of Otology, Rhinology, and Laryngology·Isabelle Plouin-GaudonMarc Remacle
Jan 24, 2006·The Annals of Otology, Rhinology, and Laryngology·Brooke BosleyJackie L Gartner-Schmidt
Apr 21, 2006·The Journal of Laryngology and Otology·Gürsel Dursun, M Kürsat Gökcan
Aug 24, 2007·The Laryngoscope·Laura H Swibel RosenthalRobert H Deeb
Apr 18, 2008·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Nikolay SapundzhievJochen Alfred Werner
Oct 12, 2011·Current Opinion in Otolaryngology & Head and Neck Surgery·VyVy N Young, Clark A Rosen
Mar 14, 2013·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Philippe GorpheDaniel Brasnu
Oct 16, 2014·The Journal of Laryngology and Otology·T YilmazG Atay
Jun 11, 2015·The Laryngoscope·László SzakácsLászló Rovó
Jun 26, 2015·JAMA Otolaryngology-- Head & Neck Surgery·Alexander T HillelMichael M Johns
Sep 2, 2015·Journal of Voice : Official Journal of the Voice Foundation·Taner YılmazMünir Demir Bajin

❮ Previous
Next ❯

Citations

Nov 27, 2018·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Nupur Kapoor NerurkarRahul Gosavi
Dec 5, 2020·Case Reports in Otolaryngology·Shinsuke Suzuki, Takechiyo Yamada
Mar 24, 2021·Journal of Voice : Official Journal of the Voice Foundation·Wan-Fu SuYing-Chieh Hsu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.