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Mucosal Bridge Reconstruction: A Novel Approach for the Vocal Fold Mucosal Bridge.
Engin Başer1, İsmail İlter Denizoğlu2
1Department of Otorhinolaryngology-Head and Neck Surgery, Ministry of Health, Bandırma, Balıkesir Private Practice, Turkey.
The Annals of Otology, Rhinology, and Laryngology
|January 5, 2022
Summary
Mucosal Bridge Reconstruction (MBR) offers a promising surgical approach for vocal fold mucosal bridges (MBs), improving voice quality. This study shows significant objective and subjective improvements after MBR, a suturing technique instead of resection.
Area of Science:
- Otolaryngology
- Laryngology
- Speech Science
Background:
- Mucosal Bridges (MBs) are benign vocal fold abnormalities.
- Current treatments may have drawbacks, necessitating alternative approaches.
Purpose of the Study:
- To evaluate the efficacy of Mucosal Bridge Reconstruction (MBR) as a surgical treatment for MBs.
- To present preoperative and postoperative results of patients undergoing MBR.
Main Methods:
- Retrospective evaluation of 5 patients diagnosed with MB.
- Preoperative and postoperative acoustic analysis (fundamental frequency, jitter, shimmer, NHR) and voice quality assessments (VHI-10, GRBAS scale).
Main Results:
- All 5 patients had unilateral MBs.
- Significant improvements were observed in both objective acoustic measures and subjective voice assessments post-MBR.
- Mean follow-up was 14 months.
Conclusions:
- MBR provides a physiological and anatomical surgical solution for MBs.
- The outcomes of this delicate microlaryngeal surgery are promising for voice restoration.
