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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...

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Related Experiment Video

Updated: Jul 16, 2026

An Implantable System For Chronic In Vivo Electromyography
09:52

An Implantable System For Chronic In Vivo Electromyography

Published on: April 21, 2020

Dynamic Voice Optimization After Type I Thyroplasty Using a Novel Adjustable Implant: A Prospective Longitudinal

Nadhirah Mohd Shakri1,2, Mawaddah Azman1,2, Qi Shen Chua1

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia, Bandar Tun Razak, Kuala Lumpur 56000, Malaysia.

Journal of Clinical Medicine
|July 15, 2026
PubMed
Summary

The APrevent Vocal Implant System (VOIS) offers safe and effective treatment for unilateral vocal fold paralysis (UVFP), significantly improving voice quality. Postoperative adjustments allow for dynamic optimization, enhancing outcomes and reducing revision surgery needs.

Keywords:
dysphonialaryngologymedialization thyroplastyphonosurgeryvocal fold paralysisvoice disordervoice surgery

Related Experiment Videos

Last Updated: Jul 16, 2026

An Implantable System For Chronic In Vivo Electromyography
09:52

An Implantable System For Chronic In Vivo Electromyography

Published on: April 21, 2020

Area of Science:

  • Otolaryngology
  • Speech Pathology
  • Biomedical Engineering

Background:

  • Unilateral vocal fold paralysis (UVFP) significantly impacts voice quality and patient life.
  • Medialization thyroplasty (MT) is a surgical option for UVFP.
  • The APrevent Vocal Implant System (VOIS) offers an adjustable approach to MT.

Purpose of the Study:

  • To evaluate the clinical outcomes, safety, and efficacy of the VOIS.
  • To assess the impact of postoperative saline adjustments on voice outcomes in UVFP patients.

Main Methods:

  • A retrospective-prospective longitudinal study of 11 chronic UVFP patients undergoing VOIS MT.
  • Multidimensional voice parameters analyzed preoperatively and at 1, 3, 6, and 12 months postoperatively.
  • Statistical analysis using Friedman and Wilcoxon signed-rank tests.

Main Results:

  • Significant and sustained improvements in voice parameters (mVHI-10, MPT, jitter, shimmer, NHR) observed over 12 months.
  • 72.73% of patients received postoperative saline adjustments, leading to further voice enhancement.
  • No major complications like airway obstruction or hematoma were reported.

Conclusions:

  • VOIS MT is a safe and effective treatment for UVFP, yielding lasting voice improvements.
  • Postoperative saline adjustments allow dynamic glottal closure optimization, minimizing revision surgery.
  • VOIS provides a flexible, adjustable alternative to static medialization techniques for UVFP.