Videostroboscopic assessment of unilateral vocal fold paralysis after augmentation with autologous fascia
| Autor: | Sari Lehikoinen-Söderlund, Eija-Riitta Lauri, Petri Reijonen, Heikki Rihkanen |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Voice Quality Video Recording Neurological disorder Injections Intralesional Risk Assessment Severity of Illness Index Transplantation Autologous Speech Acoustics Statistics Nonparametric Stroboscope Voice analysis 03 medical and health sciences 0302 clinical medicine Paralysis medicine Humans Minimally Invasive Surgical Procedures Prospective Studies Phonation Fascia 030223 otorhinolaryngology Aged Probability Laryngoscopy business.industry General Medicine Middle Aged respiratory system medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Vocal folds Tissue Transplantation Female medicine.symptom business Vocal Cord Paralysis Follow-Up Studies |
| Zdroj: | European Archives of Oto-Rhino-Laryngology. 261:177-183 |
| ISSN: | 1434-4726 0937-4477 |
| DOI: | 10.1007/s00405-003-0642-7 |
| Popis: | Vocal fold augmentation by injection laryngoplasty is a simple and fast procedure. The aim of this prospective study was to assess the glottal closure and the travelling mucosal wave by videostroboscopic images after autologous fascia augmentation in unilateral vocal fold paralysis (UVFP) with a special reference to objective analysis of voice. A total of 14 UVFP patients with poor voice and open glottal gap were assessed by videostroboscopy, blinded perceptual evaluation of running speech and acoustical analysis of sustained vowel. Data were collected before the procedure and at a supplementary evaluation 5–32 months (mean: 13 months) after injection of autologous fascia deep into the paralysed vocal fold. Mean age was 59 years; there were eight women and six men. Frame-by-frame video analysis revealed that before the operation 10 out of 12 had large glottal gaps without any contact between vocal folds on phonation. After the procedure seven gaps were completely closed, four partly, and two had no mucosal contact in stroboscopic examination. Maximum gap between vocal folds decreased from 7.21 units to 1.65 units (paired t-test P |
| Databáze: | OpenAIRE |
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