Amplitude of Glottal Mucosal Wave After Vocal Fold Microflap With or Without Fibrin Glue
| Autor: | Ramón González-Herranz, Elizabeth Amarillo, Jose Montojo Woodeson, Estefanía Hernández-García, Guillermo Plaza-Mayor |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Glottis Microsurgery medicine.medical_specialty Time Factors Adolescent Voice Quality Fibrin Tissue Adhesive Respiratory Mucosa Vocal Cords Vibration Surgical Flaps Voice analysis Laryngeal Diseases Disability Evaluation Young Adult 03 medical and health sciences Speech and Hearing 0302 clinical medicine Phonation Female patient otorhinolaryngologic diseases medicine Humans Stroboscopy Child 030223 otorhinolaryngology Fibrin glue Retrospective Studies Wound Healing business.industry Significant difference Good image Recovery of Function Middle Aged LPN and LVN Secondary intention Surgery Treatment Outcome medicine.anatomical_structure Otorhinolaryngology Mucosal wave 030220 oncology & carcinogenesis Vocal folds Female Tissue Adhesives business |
| Zdroj: | Journal of Voice. 31:342-346 |
| ISSN: | 0892-1997 |
| DOI: | 10.1016/j.jvoice.2016.07.013 |
| Popis: | Summary Introduction The vocal fold microflap technique is the ideal to remove benign vocal fold pathology. Our objective is to compare the amplitudes of the mucosal wave before and after the closure of microflap defect with fibrin glue, and when microflap is left to heal by secondary intention. Materials and Methods The present study is a retrospective series, including 32 patients treated by intracordal phonosurgery, with closure of the microflap either with fibrin glue or by healing by secondary intention. They all had both preoperative and 6-month postoperative track records to allow voice analysis, a subjective Voice Handicap Index 10 (VHI-10), and a good image quality strobe. Results After selecting the patients was found that the mean overall preoperative VHI-10 was 26.6, and improved up to 10.5 after surgery, a statistical differences ( P = 0.03). When comparing both groups, with or without fibrin glue, fibrin glue did not improved results in VHI-10. On the contrary, there was a significant difference in the improvement of the open glottal phase after surgery ( P = 0.03), showing a much higher improvement when fibrin glue was used. Conclusions The use of fibrin glue after a vocal fold microflap for advanced pathology, such as sulcus vocalis in pocket, vergeture, or vocal fold scar, increases the amplitude of the mucosal wave of the vocal folds, but does not improve the VHI-10 results in our cohort of female patients. So far, patient-reported outcome shows that healing by secondary intention continues to provide excellent voice results. |
| Databáze: | OpenAIRE |
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