Long-term preservation of voice improvement following surgical medialization and reinnervation for unilateral vocal fold paralysis

Autor: Harvey M. Tucker
Rok vydání: 1999
Předmět:
Zdroj: Journal of Voice. 13:251-256
ISSN: 0892-1997
Popis: Summary In June of 1996, we reported improved functional voice results when reinnervation was combined with surgical medialization for unilateral vocal fold paralysis. 1 In addition, it was noted that further wasting of the reinnervated vocal fold was prevented in 96% of these patients beyond 2 years' follow-up. The study reported here compares the long-term preservation of voice improvement achieved by surgical medialization alone with that resulting from combined medialization and nerve-muscle pedicle reinnervation. Further significant wasting of the paralyzed vocal fold with voice deterioration from that achieved by surgical medialization alone was noted between 6 months and 2 years postoperatively in 28% of patients, while only 4% of those undergoing combined reinnervation demonstrated this finding at a minimum of 2 years' follow-up.
Databáze: OpenAIRE