Superomedial Submucosal Partial Arytenoidectomy for Improved Posterior Glottic Closure
| Autor: | Nicolas E. Maragos, Diana M. Orbelo, Jonathan J. Romak, Dale C. Ekbom, Amy M. Saleh |
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| Rok vydání: | 2014 |
| Předmět: |
Male
Glottis medicine.medical_specialty Laryngoscopy Case presentation Voice Disorder otorhinolaryngologic diseases medicine Humans Right arytenoid cartilage Voice Disorders medicine.diagnostic_test business.industry Vocal fold atrophy General Medicine Vocal fold paralysis Middle Aged respiratory system Surgery Otorhinolaryngology Quality of Life Airway business Complication Vocal Cord Paralysis Arytenoid Cartilage |
| Zdroj: | Annals of Otology, Rhinology & Laryngology. 123:347-352 |
| ISSN: | 1943-572X 0003-4894 |
| DOI: | 10.1177/0003489414526367 |
| Popis: | Objective: Endoscopic medial partial arytenoidectomy has been described previously for expansion of the posterior glottic airway in bilateral vocal fold paralysis. Superomedial submucosal partial arytenoidectomy (SSPA), a modification of this technique, can improve glottic closure in the setting of an obstructing anteromedially prolapsed arytenoid. We present our surgical technique and a case example. Methods and Results: A 45-year-old man presented with dysphonia attributable to unilateral true vocal fold paralysis. Laryngoscopy revealed right true vocal fold atrophy and an anteriorly prolapsed right arytenoid cartilage preventing posterior glottic closure during adduction. Right SSPA and ipsilateral vocal fold injection augmentation were performed without complication. One-month and 11-month postoperative evaluations showed marked improvement in voice, with complete glottic closure. Quality-of-life assessment and patient report showed a durable result at 50 months. Conclusion: SSPA may be a valuable technique in the management of breathy dysphonia associated with posterior glottic gap and other sequelae of the malpositioned arytenoid. |
| Databáze: | OpenAIRE |
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