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https://www.readbyqxmd.com/read/28802393/paediatric-injection-medialisation-laryngoplasty-recent-great-ormond-street-hospital-experience
#1
K A Stephenson, L Cavalli, A Lambert, J Fleming, E Lawes, S Gupta, C G Jephson, L A Cochrane
INTRODUCTION: Unilateral vocal fold paresis may significantly impair the vocal quality and laryngeal competence of a child. Relatively little literature relates to injection medialisation laryngoplasty (IML) in children and previous reports have involved small numbers of heterogenous cases. METHODS: A retrospective review was conducted of paediatric patients managed by our multidisciplinary specialist voice clinic undergoing IML for unilateral vocal fold paresis...
September 2017: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/28745776/aryepiglottic-fold-augmentation-as-treatment-for-late-onset-dysphagia-following-surgical-treatment-of-recurrent-laryngeal-neuropathy
#2
Aleksandar Vidovic, Uta Delling
OBJECTIVE: Coughing and dysphagia have been described following prosthetic laryngoplasty (LP) with or without ventriculectomy/ventriculocordectomy (VE/VCE) for the treatment of recurrent laryngeal neuropathy. All previous case descriptions include patients with acute onset of clinical signs after surgery that persisted. The authors observed a late-onset of dysphagia and coughing months to years after LP ± VE/VCE. The condition was always associated with an abnormality of the aryepiglottic fold (AEF)...
July 26, 2017: Tierärztliche Praxis. Ausgabe G, Grosstiere/Nutztiere
https://www.readbyqxmd.com/read/28719756/medialization-laryngoplasty-in-the-elderly-outcomes-and-expectations
#3
Andrew Jay Bowen, Tiffany L Huang, Michael S Benninger, Paul C Bryson
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)...
July 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28699172/outcomes-of-medialization-laryngoplasty-with-and-without-arytenoid-adduction
#4
Joseph Chang, Sarah L Schneider, James Curtis, Jonelyn Langenstein, Mark S Courey, Katherine C Yung
OBJECTIVES/HYPOTHESIS: To evaluate the effect of medialization laryngoplasty (ML) performed alone compared to ML with arytenoid adduction (AA) on glottic gap and voice quality in unilateral vocal fold paralysis (UVFP) patients. STUDY DESIGN: Retrospective case series. METHODS: UVFP patients treated with ML alone and ML with AA at the University of California San Francisco Voice and Swallowing Center were identified. Demographic information and history of laryngeal procedures were collected...
July 12, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28688218/early-versus-late-inpatient-awake-transcervical-injection-laryngoplasty-after-thoracic-aortic-repair
#5
Diane W Chen, Matt D Price, Scott A LeMaire, Joseph S Coselli, N Eddie Liou, Julina Ongkasuwan
BACKGROUND: Vocal fold movement impairment (VFMI), a known complication following thoracic aortic surgery, has been associated with poorer surgical outcomes, including higher pulmonary complications and longer length of stay (LOS). Awake transcervical injection laryngoplasty in the inpatient setting serves to augment pulmonary toilet function for affected patients. This study investigates clinical outcomes of patients who underwent early versus late injection laryngoplasty following aortic surgery...
July 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28684786/autologous-thyroid-cartilage-graft-implantation-in-medialization-laryngoplasty-a-modified-approach-for-treating-unilateral-vocal-fold-paralysis
#6
Ming-Shao Tsai, Ming-Yu Yang, Geng-He Chang, Yao-Te Tsai, Meng-Hung Lin, Cheng-Ming Hsu
Medialization laryngoplasty is the standard surgical treatment for unilateral vocal fold paralysis. This study presents a modified approach in which a thyroid cartilage graft is implanted in medialization laryngoplasty. 22 patients who underwent this approach were included in the study. The results revealed that glottal incompetence and vocal performance were markedly improved following surgery, and the follow-up period ranged from 6 to 74 months (mean, 21.4 months). Acoustic analysis revealed significant improvements in the maximum phonation time (from 3...
July 6, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28684252/medialization-laryngoplasty-after-injection-augmentation
#7
Valeria Silva Merea, Solomon Husain, Lucian Sulica
OBJECTIVES: This study aims to assess the effect of vocal fold injection augmentation (IA) on subsequent medialization laryngoplasty (ML). STUDY DESIGN: A retrospective cohort study with follow-up telephone survey was carried out. METHODS: Clinical records of patients with unilateral vocal fold paralysis or paresis (VFP) who underwent ML between April 2006 and March 2015 were reviewed. Patients who underwent IA before ML were compared with patients who did not, with respect to demographic information, symptoms, Voice Handicap Index-10 (VHI-10), etiology of VFP, and revision rate...
July 3, 2017: Journal of Voice: Official Journal of the Voice Foundation
https://www.readbyqxmd.com/read/28679461/cost-analysis-of-injection-laryngoplasty-performed-under-local-anaesthesia-versus-general-anaesthesia-an-australian-perspective
#8
D Chandran, C M Woods, M Schar, N Ma, E H Ooi, T Athanasiadis
OBJECTIVE: To conduct a cost analysis of injection laryngoplasty performed in the operating theatre under local anaesthesia and general anaesthesia. METHODS: The retrospective study included patients who had undergone injection laryngoplasty as day cases between July 2013 and March 2016. Cost data were obtained, along with patient demographics, anaesthetic details, type of injectant, American Society of Anesthesiologists score, length of stay, total operating theatre time and surgeon procedure time...
July 6, 2017: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28671273/laryngeal-surgical-treatment-in-transgender-women-a-systematic-review-and-meta-analysis
#9
Karine Schwarz, Anna Martha Vaitses Fontanari, Maiko Abel Schneider, Bianca Machado Borba Soll, Dhiordan Cardoso da Silva, Poli Mara Spritzer, Maria Elza Kazumi Yamaguti Dorfman, Gabriel Kuhl, Angelo Brandelli Costa, Carla Aparecida Cielo, Anna Paula Villas Bôas, Maria Inês Rodrigues Lobato
OBJECTIVE: To identify the effects of laryngeal surgical treatment in the voice of transgender women, especially on the fundamental frequency (f0). STUDY DESIGN: We performed a systematic review in PubMed and Scopus in July 2016, covering the period between 2005 and 2016. METHODS: Inclusion criteria were studies in English or Portuguese about the laryngeal surgical treatment in transgender women, featuring experimental design, title, year of publication, country of origin, journal of publication, participants, intervention, results...
July 3, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28530260/injection-laryngoplasty-through-a-transoral-approach-using-the-guedel-oral-airway
#10
A L Hamdan, M Rizk, C Ayoub, G Ziade
Injection laryngoplasty has gained popularity as a treatment modality for glottal insufficiency. Several approaches have been described, specifically transcutaneous, transoral and transnasal. The authors describe a novel technique performed successfully on three subjects, namely endoscopic injection laryngoplasty using the modified Guedel oral airway. There was marked improvement in dysphonia, maximum phonation time and closed quotient in all three subjects with a decrease in the Voice Handicap Index-10 score...
May 22, 2017: Acta Otorhinolaryngologica Italica
https://www.readbyqxmd.com/read/28530217/-phonosurgical-methods-of-treatment-in-unilateral-vocal-folds-paralysis
#11
REVIEW
Bozena Kosztyła-Hojna, Greta Berger, Maciej Zdrojkowski
Glottal insufficiency (GI) is a cause of breathy voice that can profoundly affect quality of voice. Main causes are unilateral vocal fold paralysis or endoscopic cordectomy for the early treatment of laryngeal cancer of the glottis. The main strategy in surgical treatment is type I medialization thyroplasty according to Isshiki with the use of implants e.g. silastic, hydroxyapatite, titanium, Gore-Tex or Montgomery. Other procedures are arytenoid adduction, the injection laryngoplasty via thyrohyoid and cricothyroid approach and laryngeal reinnervation...
April 21, 2017: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/28498552/ex-vivo-biomechanical-stability-of-5-cricoid-suture-constructs-for-equine-laryngoplasty
#12
Olivier Brandenberger, Fabrice Rossignol, Justin D Perkins, Antoine Lechartier, Céline Mespoulhès-Rivière, Amelie Vitte, Anthony Rossignol, Norm Ducharme, Karl Joseph Boening
OBJECTIVE: To determine the biomechanical properties of 5 suture constructs in the equine cricoid under cyclic loading and load to failure testing. STUDY DESIGN: Ex vivo study. SAMPLES: Seventy-five equine cadaver larynges. METHODS: Each larynx was implanted with 1 of 5 cricoid-suture constructs. The standard laryngoplasty, where a suture is passed once through the cricoid, including its caudal edge, was used in 2 constructs: 1 with 5 USP Ethibond (ES) and 1 with 2 mm Fibertape (FS)...
May 12, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28462516/in-vitro-comparison-of-3-techniques-of-prosthesis-attachment-to-the-muscular-process-of-the-equine-arytenoid-cartilage
#13
Benjamin J Ahern, Andrew W Van Eps, Raymond C Boston, Samantha H Franklin
OBJECTIVE: To determine the degree and ease of arytenoid abduction achieved with abaxial placement of a FASTak II suture anchor compared to 2 suture patterns with different directions of insertion-caudomedial to craniolateral and medial to lateral. STUDY DESIGN: Ex vivo experimental. STUDY POPULATION: Cadaveric larynges from 10 Standardbred racehorses. METHODS: Each larynx was sequentially instrumented with all 3 arytenoid suture attachment in random order: (1) abaxial placement of a FASTak II suture, (2) caudomedial to craniolateral suture, and (3) medial to lateral suture placement...
April 29, 2017: Veterinary Surgery: VS
https://www.readbyqxmd.com/read/28451492/recurrent-laryngeal-nerve-palsy-after-cervical-spine-surgery-a-multicenter-aospine-clinical-research-network-study
#14
Ziya L Gokaslan, Mohamad Bydon, Rafael De la Garza-Ramos, Zachary A Smith, Wellington K Hsu, Sheeraz A Qureshi, Samuel K Cho, Evan O Baird, Thomas E Mroz, Michael Fehlings, Paul M Arnold, K Daniel Riew
STUDY DESIGN: Multicenter retrospective study. OBJECTIVES: To investigate the risk of symptomatic recurrent laryngeal nerve palsy (RLNP) following cervical spine surgery, to examine risk factors for its development, and to report its treatment and outcomes. METHODS: A multicenter study from 21 high-volume surgical centers from the AOSpine North America Clinical Research Network was performed. Each center screened for rare complications following cervical spine surgery, including RLNP...
April 2017: Global Spine Journal
https://www.readbyqxmd.com/read/28370683/management-of-unilateral-recurrent-laryngeal-nerve-injury-after-thyroid-surgery-a-review
#15
REVIEW
Jeremy Lynch, Rajeev Parameswaran
BACKGROUND: Recurrent laryngeal nerve (RLN) damage because of thyroid and parathyroid surgery has been recognized for over a century. Injury rates have been slowly decreasing in this period while effective treatment strategies have been increasing. METHODS: Recent literature was evaluated on the topics of anatomy, pathophysiology, avoidance, and conservative and surgical treatment of RLN injury. Data for this literature review were identified by PubMed and references from relevant articles using the search terms "thyroid," "laryngeal nerve," and "injury...
July 2017: Head & Neck
https://www.readbyqxmd.com/read/28282230/nebulized-adrenaline-in-the-postoperative-management-of-brachycephalic-obstructive-airway-syndrome-in-a-pug
#16
Jenny Ellis, Elizabeth Ann Leece
Brachycephalic obstructive airway syndrome is a common problem in certain breeds, and may necessitate surgical procedures, such as rhinoplasty, palatoplasty, laryngeal sacculectomy, and/or arytenoid laryngoplasty, to improve the quality of life. However, laryngeal edema may necessitate the use of temporary tracheostomy tubes postoperatively to maintain a patent airway. This case demonstrates that administration of nebulized adrenaline in the immediate postoperative period where upper airway obstruction is life threatening can be used to reduce edema, therefore avoiding the need for tracheostomy...
March 2017: Journal of the American Animal Hospital Association
https://www.readbyqxmd.com/read/28271510/anticoagulation-and-antiplatelet-therapy-in-awake-transcervical-injection-laryngoplasty
#17
Jennifer H Dang, Nelson Eddie Liou, Julina Ongkasuwan
OBJECTIVE: Vocal fold movement impairment (VFMI) due to neuronal injury occurs in 20% to 30% of surgeries in the region of the aortic arch. Early injection laryngoplasty can aid with postoperative pulmonary toilet in these high-risk cardiovascular patients. The purpose of this study is to determine whether continuing antiplatelet and anticoagulation therapy during awake transcervical injection laryngoplasty surgery is safe, and if there is any increase in bleeding complications in these patients...
March 8, 2017: Laryngoscope
https://www.readbyqxmd.com/read/28255926/current-trends-of-balloon-laryngoplasty-in-thailand
#18
Greetha Moungthong, Sacarin Bunbanjerdsuk, Nida Wright, Thanakrit Sathavornmanee, Dhave Setabutr
OBJECTIVE: To describe the current trend in balloon laryngoplasty usage and experience by practicing otolaryngologists in Thailand. STUDY DESIGN: Anonymous 11 question online and paper survey of otolaryngologists on their current balloon laryngoplasty practices. SUBJECTS AND METHODS: Current practices and experience in balloon laryngoplasty were queried with multiple choice and open-ended questions. RESULTS: Laser use is the most commonly utilized instrument to treat airway stenosis in Thailand...
March 2, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28238367/electromyography-guided-hyaluronic-acid-injection-laryngoplasty-in-early-stage-of-unilateral-vocal-fold-paralysis
#19
Itziar Gotxi-Erezuma, Mónica Ortega-Galán, Ainhoa Laso-Elguezabal, Gonzalo Prieto Puga, Carolina Bullido-Alonso, Susana García-Gutiérrez, Ane Anton-Ladislao, Enrique Moreno-Alonso
INTRODUCTION AND OBJECTIVE: To assess the effectiveness of electromyography-guided hyaluronic acid injection laryngoplasty in the early stage of unilateral vocal fold paralysis in terms of patient recovery from dysphonia and quality of life. METHODS: Between January and December 2014, 28 patients with unilateral vocal fold paralysis underwent electromyography and injection of hyaluronic acid in the thyroarytenoid muscle. We compared the voice handicap index, grade, roughness, breathiness, asthenia, strain scale (GRBAS), videostroboscopic parameters and maximum phonation time assessed before, 15 days and 6 months after the intervention, using the non-parametric Wilcoxon rank test...
February 23, 2017: Acta Otorrinolaringológica Española
https://www.readbyqxmd.com/read/28219447/medialization-thyroplasty-versus-injection-laryngoplasty-a-cost-minimization-analysis
#20
Samantha Tam, Hongmei Sun, Sisira Sarma, Jennifer Siu, Kevin Fung, Leigh Sowerby
BACKGROUND: Medialization thyroplasty and injection laryngoplasty are widely accepted treatment options for unilateral vocal fold paralysis. Although both procedures result in similar clinical outcomes, little is known about the corresponding medical care costs. Medialization thyroplasty requires expensive operating room resources while injection laryngoplasty utilizes outpatient resources but may require repeated procedures. The purpose of this study, therefore, is to quantify the cost differences in adult patients with unilateral vocal fold paralysis undergoing medialization thyroplasty versus injection laryngoplasty...
February 20, 2017: Journal of Otolaryngology—Head & Neck Surgery
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