Endoscopic Mucosal Rotational Flap for Posterior Glottic Insufficiency: A Case Report

Author:

Pagel Jessica M.L.1ORCID,Jonas Rachel H.2ORCID,Daniero James J.3,McGarey Patrick O.3

Affiliation:

1. University of Virginia School of Medicine Charlottesville Virginia U.S.A.

2. Department of Otolaryngology – Head and Neck Surgery University of Washington Seattle Washington U.S.A.

3. Department of Otolaryngology – Head and Neck Surgery University of Virginia Charlottesville Virginia U.S.A.

Abstract

The report describes the novel use of an endoscopic CO2 LASER assisted posterior glottic rotation flap in a professional voice user with non‐intubation related posterior glottic insufficiency. The 78‐year‐old patient presented with progressive dysphonia and dyspnea with speaking with stroboscopy findings of posterior glottic insufficiency.After several empiric voice treatments without improvement, the described surgery was performed to correct posterior glottic insufficiency. After surgery, VHI‐10 improved from 25 to 9, overall CAPE‐V from 69 to 6.5. The patient resumed public speaking and lecturing with maintained improvement in vocal quality and function at last follow‐up six months postoperatively. Laryngoscope, 2024

Publisher

Wiley

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