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Silastic medialization for unilateral vocal fold palsy
1Department of Ear, Nose and Throat, Yan Chai Hospital, 7-11 Yan Chai Street, Tsuen Wan, Hong Kong.
Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|June 1, 1997
Summary
Silastic medialization effectively treats dysphonia in unilateral vocal fold palsy. This procedure offers reversible and tunable benefits, proving suitable for elderly and debilitated patients.
Area of Science:
- Otolaryngology
- Speech Pathology
Background:
- Unilateral vocal fold palsy can cause significant dysphonia.
- Various conditions, including tuberculous fibrosis, bronchial carcinoma, and post-esophagectomy complications, can lead to vocal fold palsy.
Purpose of the Study:
- To evaluate the efficacy of silastic medialization for treating dysphonia in patients with unilateral vocal fold palsy.
- To assess the suitability of silastic medialization for patients with both malignant and benign causes of vocal fold palsy.
Main Methods:
- Twelve silastic medialization procedures were performed between August 1994 and September 1995.
- Voice quality was assessed using both subjective and objective measures.
Main Results:
- The silastic medialization procedure demonstrated effectiveness in relieving dysphonia.
- Only one patient required a revision surgery due to suboptimal voice quality.
- The procedure is tunable, reversible, and well-tolerated by elderly and debilitated individuals.
Conclusions:
- Silastic medialization is an effective treatment for dysphonia associated with unilateral vocal fold palsy.
- The procedure's reversible and tunable nature makes it a valuable option, particularly for vulnerable patient groups.
- Further research is needed to ascertain the long-term benefits of silastic medialization.