Endoscopic Mucosal Rotational Flap for Posterior Glottic Insufficiency: A Case Report.

Autor: Pagel JML; University of Virginia School of Medicine, Charlottesville, Virginia, U.S.A., Jonas RH; Department of Otolaryngology - Head and Neck Surgery, University of Washington, Seattle, Washington, U.S.A., Daniero JJ; Department of Otolaryngology - Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, U.S.A., McGarey PO Jr; Department of Otolaryngology - Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, U.S.A.
Jazyk: angličtina
Zdroj: The Laryngoscope [Laryngoscope] 2025 Jan; Vol. 135 (1), pp. 247-250. Date of Electronic Publication: 2024 Sep 14.
DOI: 10.1002/lary.31760
Abstrakt: The report describes the novel use of an endoscopic CO2 LASER assisted posterior glottic rotation flap in a professional voice user with non-intubation related posterior glottic insufficiency. The 78-year-old patient presented with progressive dysphonia and dyspnea with speaking with stroboscopy findings of posterior glottic insufficiency.After several empiric voice treatments without improvement, the described surgery was performed to correct posterior glottic insufficiency. After surgery, VHI-10 improved from 25 to 9, overall CAPE-V from 69 to 6.5. The patient resumed public speaking and lecturing with maintained improvement in vocal quality and function at last follow-up six months postoperatively. Laryngoscope, 135:247-250, 2025.
(© 2024 The Author(s). The Laryngoscope published by Wiley Periodicals LLC on behalf of The American Laryngological, Rhinological and Otological Society, Inc.)
Databáze: MEDLINE