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Published on: March 18, 2020
Correction of dysphonia using laryngeal framework surgical techniques
1Vrije Universiteit Amsterdam, Dept. of Otorhinolaryngology Head & Neck Surgery, University Hospital Vrije Universiteit, Postbus 7057, 1007 MB Amsterdam, The Netherlands.
Summary
Laryngeal framework surgery effectively corrects voice disorders from glottis closure issues or poor vocal fold tension. This phonosurgical approach, often performed under local anesthesia, yields good long-term results with minimal complications.
Area of Science:
- Otolaryngology
- Phonosurgery
- Laryngeal Framework Surgery
Background:
- Dysphonia, often caused by incomplete glottis closure or inadequate vocal fold tension, frequently requires surgical intervention.
- Laryngeal framework surgery is the preferred initial treatment for many such voice disorders.
- Phonosurgical techniques like thyroplasty and arytenoid adduction are commonly employed.
Purpose of the Study:
- To evaluate the efficacy and safety of laryngeal framework surgery for correcting dysphonia.
- To assess the outcomes of specific phonosurgical techniques for glottis closure and vocal fold tension issues.
- To determine the benefits of performing laryngeal framework surgery under local anesthesia.
Main Methods:
- Retrospective analysis of 89 patients undergoing laryngeal framework surgery.
- Specific focus on 85 patients treated for incomplete glottis closure, primarily due to unilateral vocal fold immobility.
- Procedures performed under local anesthesia to allow real-time voice monitoring and surgical adjustment.
Main Results:
- Laryngeal framework surgery demonstrated good long-term efficacy in correcting incomplete glottis closure, particularly in cases of unilateral vocal fold immobility.
- The majority of patients (75 out of 85) experienced positive outcomes.
- Complications associated with the procedures were infrequent and minor.
Conclusions:
- Laryngeal framework surgery is a safe and effective treatment for dysphonia related to glottis closure and vocal fold tension.
- The use of local anesthesia is crucial for optimizing surgical outcomes by enabling intraoperative voice assessment.
- Phonosurgical correction of unilateral vocal fold immobility yields favorable long-term results.
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