Modified arytenoid adduction for cancer-related unilateral vocal fold paralysis
- 25 November 2010
- journal article
- research article
- Published by Cambridge University Press (CUP) in The Journal of Laryngology & Otology
- Vol. 125 (2), 173-180
- https://doi.org/10.1017/s0022215110002434
Abstract
Objectives: : (1) To evaluate the efficacy of modified arytenoid adduction in the management of patients with symptomatic cancer-related unilateral vocal fold paralysis, and (2) to assess the impact of this treatment on patients' quality of life.Methods: : Forty-two patients with cancer-related unilateral vocal fold paralysis underwent modified arytenoid adduction between February 2001 and December 2008. Of these, 37 patients were enrolled in this retrospective study (one patient died of primary disease and four were lost to follow up). Laryngostroboscopy was performed to evaluate vocal fold orientation and mobility. Pre- and post-operative assessment of subjective and objective voice, aerodynamic parameters, and quality of life were also undertaken, and aspiration was subjectively rated.Results: : Laryngostroboscopic findings indicated a significant post-operative improvement in vocal fold posterior glottal closure and vertical gap. Significant improvements in voice quality, aerodynamic parameters and quality of life were noted three months post-operatively in all patients (p < 0.01). The overall success rate for swallowing rehabilitation was 94.6 per cent (35/37). Subjective aspiration ratings decreased significantly post-operatively, compared with pre-operative values (p < 0.01). No major complication occurred in any patient, except for dyspnoea in one patient.Conclusion: : Modified arytenoid adduction is an effective and reliable medialisation technique which can restore satisfactory voice quality, prevent aspiration and lead to a better quality of life for patients with cancer-related unilateral vocal fold paralysis.Keywords
This publication has 20 references indexed in Scilit:
- Functional Significance of Arytenoid Adduction with the Suture Attaching to Cricoid Cartilage versus to Thyroid Cartilage for Unilateral Paralytic DysphoniaThe Laryngoscope, 2005
- Traction of Lateral Cricoarytenoid Muscle for Unilateral Vocal Fold Paralysis: Comparison with Isshiki's Original Technique of Arytenoid AdductionAnnals of Otology, Rhinology & Laryngology, 2005
- A New Paramedian Approach to Arytenoid Adduction and Strap Muscle Transposition for Vocal Fold MedializationThe Laryngoscope, 2002
- Voice outcome following thyroplasty in patients with cancer-related vocal fold paralysisAuris Nasus Larynx, 2001
- Complications of Type I Thyroplasty and Arytenoid AdductionThe Laryngoscope, 2001
- Experimental Study on Reinnervation of Vocal Cord Adductors With the Ansa CervicalisThe Laryngoscope, 1996
- Anatomic considerations in the surgical treatment of unilateral laryngeal paralysisHead & Neck, 1996
- Hydroxylapatite Laryngeal Implants for MedializationAnnals of Otology, Rhinology & Laryngology, 1993
- The MOS 36-Item Short-Form Health Survey (SF-36)Medical Care, 1993
- The MOS 36-ltem Short-Form Health Survey (SF-36)Medical Care, 1992