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Options for treatment of a small glottic gap
Yolanda D Heman-Ackah1, Chandra M Ivey2, Ronda Alexander3
1Department of Otolaryngology-Head and Neck Surgery UF Health Jacksonville Jacksonville Florida USA.
Laryngoscope Investigative Otolaryngology
|June 21, 2023
Summary
Glottic insufficiency, a common cause of dysphonia, can be treated with surgical and behavioral therapies. This review explores treatment options, focusing on surgical interventions for vocal fold medialization to close the glottic gap.
Area of Science:
- Otolaryngology
- Speech and Language Pathology
Background:
- Glottic insufficiency, or glottic gap, is a frequent cause of dysphonia.
- Symptoms include a soft voice, reduced vocal projection, and vocal fatigue.
- Etiologies range from muscle atrophy and neurologic impairment to structural abnormalities and trauma.
Purpose of the Study:
- To review current literature on treatment options for glottic gap.
- To discuss indications for temporary and permanent treatment modalities.
- To analyze materials for injection medialization and their impact on vocal fold function and outcomes.
Main Methods:
- Systematic review of case-control studies.
- Literature review of surgical and behavioral therapies for glottic gap.
Main Results:
- Discusses various surgical management options for glottic gap closure.
- Compares different materials used in injection medialization laryngoplasty.
- Examines evidence supporting a treatment algorithm for glottic gap.
Conclusions:
- Surgical closure of the glottic gap is the primary goal when surgery is indicated.
- Understanding material properties is crucial for optimizing vocal fold vibratory function and outcomes.
- An evidence-based algorithm can guide treatment decisions for glottic insufficiency.
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