scholarly journals Medialization laryngoplasty-A study of 15 cases

2004 ◽  
Vol 56 (4) ◽  
pp. 283-288
Author(s):  
Annop Raj ◽  
Manish Girhotra ◽  
Ravi Meher
Keyword(s):  
Medialization Laryngoplasty

Medialization Laryngoplasty in the Elderly: Outcomes and Expectations

2017 ◽  
Vol 157 (4) ◽  
pp. 664-669 ◽  
Author(s):  
Andrew Jay Bowen ◽  
Tiffany L. Huang ◽  
Michael S. Benninger ◽  
Paul C. Bryson
Keyword(s):  
Elderly Patients ◽  
Vocal Cord ◽  
Vocal Cord Paralysis ◽  
Tertiary Care ◽  
Anticoagulation Therapy ◽  
Voice Handicap Index ◽  
Care Hospital ◽  
Disease Etiology ◽  
Chi Square Analysis ◽  
Medialization Laryngoplasty

Objective To describe the profile and outcomes of elderly patients undergoing medialization laryngoplasty for vocal cord paralysis. Study Design Case series with retrospective review. Setting Tertiary care hospital. Subjects and Methods Patients were included in the study if they were >65 years old at the time of medialization laryngoplasty between 2008 and 2015. Patient comorbidities, anticoagulation status, disease etiology, and physical examination findings were recorded with postoperative length of stay, complications, pre- and posttreatment voice outcomes with the Voice Handicap Index (at 6 weeks, 4 months, 8 months, and 1 year), and postprocedural interventions (revision injections, surgery, therapy). Results A total of 112 patients met the eligibility criteria. Iatrogenic injury to the recurrent laryngeal nerve (50%) was the most common etiology, followed by idiopathic (31%) causes. Sixty percent of patients were receiving long-term antiplatelet and/or anticoagulation therapy. All but 14 patients on aspirin therapy stopped their antiplatelet/anticoagulation therapy prior to surgery. Most patients were discharged on the day of surgery. Postprocedure Voice Handicap Index scores significantly improved ( P < .001) by 47%, 53%, 64%, and 57% at each of the 4 measured postprocedure dates, respectively. Two patients had major nonsurgical complications postoperatively requiring inpatient hospitalization. Chi-square analysis revealed no differences between intraoperative aspirin use, sex, or comorbidities and the incidence of complications ( P > .05). Conclusion The clinical profile and outcomes of our patients undergoing medialization laryngoplasty are comparable to those seen in younger cohorts. Medialization laryngoplasty is a safe and successful option for elderly patients with vocal cord paralysis and vocal handicap.

Needle Fracture During Injection Medialization Laryngoplasty

2021 ◽  
Author(s):  
Opeoluwa Fawole ◽  
Stefania Goncalves ◽  
Mursalin M. Anis
Keyword(s):  
Medialization Laryngoplasty

scholarly journals Stridor due to Bilateral Implant Migration 5 Years after Bilateral Medialization Laryngoplasty

2012 ◽  
Vol 2 (2) ◽  
pp. 82-84
Author(s):  
Sunita Chhapola Shukla
Keyword(s):  
Wound Infection ◽  
Rare Case ◽  
Current Knowledge ◽  
Type I ◽  
Airway Compromise ◽  
Endoscopic Removal ◽  
Transcervical Approach ◽  
Implant Migration ◽  
Initial Surgery ◽  
Medialization Laryngoplasty

ABSTRACT Implants like silastic, titanium, Gore-Tex and autologous cartilage have been used for type I laryngoplasty. Though rare, implant extrusion or migration, wound infection and airway compromise are some of the complications of medialization laryngoplasty surgery irrespective of the implant used. We document a rare case of bilateral implant migration in a patient who had undergone bilateral medialization laryngoplasty 5 years ago. Gore-Tex extrusion resulted in stridor 5 years after the initial surgery. Endoscopic removal of the extruded implant is advised, if feasible, without the need for tracheostomy or transcervical approach. An update on current knowledge and management of implant extrusion or migration is discussed. How to cite this article: Nerurkar NK, Shukla SC. Stridor due to Bilateral Implant Migration 5 Years after Bilateral Medialization Laryngoplasty. Int J Phonosurg and Laryngol 2012;2(2):82-84.

Principles of Medialization Laryngoplasty

2006 ◽  
pp. 135-143 ◽  
Author(s):  
C. Blake Simpson ◽  
Lucian Sulica
Keyword(s):  
Medialization Laryngoplasty

Incidence and Significance of Hypermetabolic PET-CT Findings in Unilateral TVF Motion Impairment

2019 ◽  
Vol 161 (5) ◽  
pp. 823-828
Author(s):  
Luke Stanisce ◽  
Timothy Renzi ◽  
Nikita Paripati ◽  
Nadir Ahmad ◽  
Thomas C. Spalla ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Contralateral Side ◽  
Neoplastic Disease ◽  
Positive Finding ◽  
False Positive Finding ◽  
Positron Emission ◽  
Surveillance Imaging ◽  
Pet Ct ◽  
Tertiary Care Institution ◽  
Medialization Laryngoplasty

Objective To determine the incidence and significance of asymmetric hypermetabolic laryngeal findings on positron emission tomography–computed tomography (PET-CT) in patients with unilateral true vocal fold (TVF) motion abnormalities. Study Design Retrospective cohort. Setting Single-center tertiary care institution. Subjects and Methods The medical records of patients with unilateral TVF motion abnormalities were reviewed. The incidence of normal and asymmetric hypermetabolic laryngeal findings was calculated in patients who underwent PET-CT and laryngeal examination, operative laryngoscopy with biopsy, or injection medialization laryngoplasty. Results A total of 135 patients with unilateral TVF motion abnormalities underwent PET-CT. After exclusion of patients who completed new or surveillance imaging for a laryngeal neoplasm (n = 27), asymmetric hypermetabolic findings in the larynx were noted in 21 (19%) cases: 13 (12%) on the contralateral side of the impaired TVF, 8 (7%) on the ipsilateral side. Two (25%) patients with ipsilateral hypermetabolism had concerning subsequent fiberoptic laryngeal examinations prompting operative biopsy. There was no evidence of inflammatory or neoplastic disease in all patients with contralateral hypermetabolic findings. Fifteen patients completed PET-CT scans after injection medialization procedures; 6 (40%) displayed avidity ipsilateral to the side of the injection. The median time from injection to scan was 27 days, as opposed to 193 days in the unremarkable scans ( P = .011). Conclusion Contralateral hypermetabolism in patients with unilateral TVF motion abnormalities may represent a false-positive finding. Ipsilateral hypermetabolic uptake without recent fold instrumentation warrants prompt diagnostic evaluation.

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