Transoral silastic medialization for unilateral vocal fold paralysis
| Autor: | Paul F. Castellanos, Ihab Atallah, Manjunath Mk |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Natural Orifice Endoscopic Surgery
medicine.medical_specialty 03 medical and health sciences Laryngoplasty 0302 clinical medicine Swallowing External approach otorhinolaryngologic diseases Medicine Humans 030223 otorhinolaryngology Silastic implant Medialization Laryngoplasty business.industry Respiratory Aspiration Transoral approach Vocal fold paralysis Prostheses and Implants Silastic Dysphonia Surgery Otorhinolaryngology 030220 oncology & carcinogenesis Lasers Gas Feasibility Studies Implant business Vocal Cord Paralysis Arytenoid Cartilage |
| Zdroj: | Headneck. 41(9) |
| ISSN: | 1097-0347 |
| Popis: | BACKGROUND Medialization laryngoplasty has historically been performed through an external approach. The aim of our work is to demonstrate the feasibility of silastic vocal fold medialization transorally. METHODS Patients with unilateral vocal fold paralysis requiring medialization laryngoplasty were included in this report. Silastic medialization was done through a transoral approach. A supraglottic laryngotomy is performed followed by dissection and tunneling in the paraglottic space. Silastic implant is inserted into the tunnel to medialize the vocal fold and the ipsilateral arytenoid. The laryngotomy is tightly closed by endoscopic sutures. RESULTS A consecutive series of 22 patients are reported. All patients had dysphonia with significant glottic insufficiency. After endoscopic silastic medialization, voice and swallowing were significantly improved (P < .001). No postoperative complications or implant extrusion occurred in our series. CONCLUSION Silastic vocal fold medialization can be safely and effectively performed through a transoral approach with good results on voice and swallowing. |
| Databáze: | OpenAIRE |
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