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"Finding a Voice": Imaging Features after Phonosurgical Procedures for Vocal Fold Paralysis
B A Vachha1, D T Ginat2, P Mallur3
1From the Department of Radiology (B.A.V.), Memorial Sloan Kettering Cancer Center, New York, New York Department of Radiology (B.A.V.), Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts vachhab@mskcc.org.
AJNR. American Journal of Neuroradiology
|May 14, 2016
Summary
Surgical restoration can improve voice quality in vocal fold paralysis. This review covers phonosurgical procedures and their imaging appearances, aiding in diagnosis and management of complications.
Area of Science:
- Otolaryngology
- Medical Imaging
- Speech Science
Background:
- Vocal fold paralysis causes communication impairments like hoarseness and dysphonia.
- Surgical interventions offer potential restoration of vocal function.
Purpose of the Study:
- To review phonosurgical procedures for vocal fold paralysis.
- To emphasize characteristic imaging appearances of treatments and complications.
Main Methods:
- Review of traditional and novel phonosurgical techniques.
- Analysis of imaging characteristics of injectable materials, implants, and augmentation procedures.
- Illustration of complications associated with injection and medialization laryngoplasty.
Main Results:
- Phonosurgical procedures can restore vocal fold function.
- Characteristic imaging findings are associated with various treatments.
- Common complications include implant displacement and post-treatment changes.
Conclusions:
- Understanding imaging post-phonosurgery is vital to differentiate treatment effects from pathology.
- Accurate identification of complications is crucial for patient management after vocal fold paralysis surgery.

