Early results for treatment of unilateral vocal fold palsy with injection medialisation under local anaesthetic

Author:

Pratap R,Mehta P,Blagnys B,Montgomery P Q

Abstract

AbstractBackground:The diagnosis and treatment of unilateral vocal fold palsy is a common part of otolaryngology practice. In those patients in whom resolution of symptoms is slow, the resulting dysphonia can have a dramatic effect on the patient's quality of voice and life. We have previously described the procedure of direct phonoplasty under local anaesthesia using the transnasal laryngoesophagoscope.Objective:To examine the subjective and objective data for the first five patients to undergo this procedure, in the form of laryngographic speech analysis, perceptual assessment and therapy outcome measures.Results:Analysis showed a statistically significant improvement in voice quality, in all the above assessment categories, following local anaesthetic direct phonoplasty using the transnasal laryngoesophagoscope.Conclusion:Collagen injection via transnasal flexible laryngoesophagoscopy is a particularly useful technique for treating vocal fold medialisation, especially in palliative care patients and those with shortened life expectancy.

Publisher

Cambridge University Press (CUP)

Subject

Otorhinolaryngology,General Medicine

Cited by 7 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Voice Outcome Measures for Adult Patients With Unilateral Vocal Fold Paralysis: A Systematic Review;The Laryngoscope;2018-09-19

2. Polydimethylsiloxane Injection Laryngoplasty for Unilateral Vocal Fold Paralysis: Long-Term Results;Journal of Voice;2017-07

3. Endoscopic vocal fold injection using a 25-gauge butterfly needle;The Journal of Laryngology & Otology;2016-02-16

4. Chirurgia delle paralisi laringee;EMC - Tecniche Chirurgiche - Chirurgia ORL e Cervico-Facciale;2015-10

5. Cirugía de las parálisis laríngeas;EMC - Cirugía Otorrinolaringológica y Cervicofacial;2015-04

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