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'Mini-Microsuture Technique' for Phonosurgery: A New Simplified Method.
İsmail İlter Denizoğlu1, Engin BaŞer2
1Otorhinolaryngology, Head&Neck Surgery Department, İzmir Medical Park Hospital, İzmir, Turkey.
The Annals of Otology, Rhinology, and Laryngology
|August 22, 2020
Summary
A new mini-microsuture technique for vocal fold surgery minimizes tissue trauma and prevents voice impairment. This cost-effective method improves postoperative anatomical structure for symmetrical vibration, enhancing voice quality.
Area of Science:
- Otolaryngology
- Microsurgery
- Vocal Fold Pathology
Background:
- Phonomicrolaryngeal surgery treats benign vocal fold disorders.
- Postoperative scarring can impair voice quality due to mucosal hypodynamia.
- A novel endolaryngeal suture technique is evaluated.
Purpose of the Study:
- To present the outcomes of a new endolaryngeal suture technique.
- To evaluate the efficacy of the mini-microsuture technique in vocal fold surgery.
- To assess the impact on postoperative tissue healing and voice quality.
Main Methods:
- Retrospective analysis of 144 patients undergoing phonomicrosurgery with the mini-microsuture technique (Jan 2018-Dec 2019).
- Endolaryngeal microscopic suturation using the mini-microsuture technique.
- Videolaryngoscopic assessment of tissue healing (suture elimination, scar status, wave pattern) at 1 and 4 weeks postoperatively.
Main Results:
- 144 patients (57 males, 87 females) with mean age 40.61 years underwent the procedure.
- 41.66% had multiple lesions, 58.33% had single lesions.
- 63.88% had bilateral vocal fold lesions, 36.22% had unilateral lesions.
Conclusions:
- The mini-microsuture technique is simple, effective, and minimizes tissue trauma.
- It prevents mucosal hypodynamia and promotes symmetrical vocal fold vibration.
- The technique is cost-effective, does not significantly prolong operation time, and improves postoperative anatomical structure.
