Long-term preservation of voice improvement following surgical medialization and reinnervation for unilateral vocal fold paralysis
Autor: | Harvey M. Tucker |
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Rok vydání: | 1999 |
Předmět: |
Male
medicine.medical_specialty Time Factors Voice Quality Vocal Cords Speech and Hearing medicine Humans Wasting Retrospective Studies business.industry Anastomosis Surgical Laryngeal Nerves Vocal fold paralysis LPN and LVN Surgery Treatment Outcome medicine.anatomical_structure Otorhinolaryngology Female Laryngeal Muscles medicine.symptom business Vocal Cord Paralysis Follow-Up Studies Reinnervation |
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 |
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