Journal article
Glottic Closure Patterns: Type I Thyroplasty Versus Type I Thyroplasty With Arytenoid Adduction
Journal of voice, v 25(3)
2011
PMID: 20335002
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
The goal of laryngeal framework surgery in patients with unilateral vocal fold paralysis is to improve glottic closure by medializing the paralyzed vocal fold. Type I thyroplasty (Th) and arytenoid adduction (AA) are two of the most commonly performed procedures. Two of the main rationales for performing an AA are to improve closure of the posterior glottis and correct vertical height discrepancy. The purpose of this study was to evaluate if AA with Th yields better posterior glottic closure and vertical height equality than Th alone.
Retrospective.
Using visual analog scales, three blinded reviewers evaluated glottic closure patterns in patients who underwent Th or Th with AA. Pre- and postoperative videostroboscopic examinations of 45 patients with unilateral vocal fold paralysis, who underwent laryngeal framework surgery, were evaluated.
No significant difference was identified in postoperative scores for midmembranous glottis closure (
P
=
0.282), closure just anterior to the vocal processes (
P
=
0.426), respiratory glottis closure (
P
=
0.158), or vertical height discrepancy (
P
=
0.113).
Although larger glottic gaps and vertical height discrepancies may lead some surgeons to predict that an AA is warranted, the usefulness of AA may not always be related to these parameters. Ultimately, voice improvement and not geometry should guide the surgeon's decision making.
Metrics
Details
- Title
- Glottic Closure Patterns: Type I Thyroplasty Versus Type I Thyroplasty With Arytenoid Adduction
- Creators
- Anya J. Li - Emory UniversityMichael M. Johns - Emory UniversityCristina Jackson-Menaldi - Wayne State UniversitySeth Dailey - University of Wisconsin–MadisonYolanda Heman-Ackah - Drexel UniversityAlbert Merati - University of WashingtonAdam D. Rubin - University of Michigan–Ann Arbor
- Publication Details
- Journal of voice, v 25(3)
- Publisher
- Mosby, Inc
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Otolaryngology (and Head and Neck Surgery)
- Web of Science ID
- WOS:000290641500001
- Scopus ID
- 2-s2.0-79955627887
- Other Identifier
- 991019167556304721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Audiology & Speech-language Pathology
- Otorhinolaryngology