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Phonosurgical Treatment of Glottic Insufficiency


Authors: J. Dršata;  M. Hudíková;  M. Kučera;  J. Vokurka;  S. Jakoubková
Authors‘ workplace: Klinika ušní nosní a krční LF UK a FN, Hradec Králové přednosta doc. MUDr. J. Vokurka, CSc.
Published in: Otorinolaryngol Foniatr, 57, 2008, No. 4, pp. 210-212.
Category: Original Article

Overview

Glottic insufficiency is a condition cause by various diagnose. Phonosurgery, first of all thyreoplasty type 1 and injection laryngoplasty, represent an effective treatment of such condition. The basic indication of operation is a vocal cord paralysis, eventually atrophy. In the years 2002 – 2006, 46 thyreoplasties and laryngeal injections were performed at the ENT Dept. University Hospital in Hradec Králové; with prevalence of injection laryngoplasties. Predominant indication for an operation was a unilateral vocal fold paralysis. Teflon was the most often used material at injection laryngoplasties, and silicon prosthesis for thyroplasty. Hoarseness was the leading sign for both types of operations, mostly operated side was on the left, and men prevailed over women. Complications of operations also occurred. Thyroplasty type 1 and injection laryngoplasty are suitable, mutually complementary methods in the complex phonosurgical-phoniatric treatment of glottic insufficiency, especially at atrophy and/or unilateral vocal cord paralysis. The operation should be performed by a surgeon with skills in phoniatrics.

Key words:
phonosurgery, injection laryngoplasty, thyroplasty.


Sources

1. D’Antonio, L. L., Wigley, T. L., Zimmermann, G. J.: Quantitative measures of laryngeal function following Teflon injection or thyroplasty type I. Laryngoskope, 105, 1995, 3, s. 256-262.

2. Dejonckere, P. H., Clemente, P. B. P., Chrnut, G.: A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (pohonosurgical) treatments and evaluating new assessment techniques. Guideline elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS). Eur Arch. otorhinolaryngol, 258, 2001, s. 77-82.

3. Dejonckere, P. H.: Teflon injection and thyroplasty: objective and subjective outcomes. Revue de Laryngologie Otologie Rhinologie. 119, 1998, 4, s. 265-269.

4. Friedrich, G., de Jong, F., Mahieu, H. F., Benninger, M. S., Isshiki N.: Laryngeal framework surgery: a proposal for classification and nomenclature by the Phonosurgery Committee of the European Laryngological Society. Eur Arch. Otorhinolaryngol, 258, 2001, s. 389-396.

5. Harries, M. L.: Laryngeal framework surgery (thyroplasty). J. Laryngál. Otol., 111, 1997, s. 103-105.

6. Isshiki, N., Okanuta, H., Ishikawa, T.: Thyroplasty type I (lateral compression) for dysphonia due to vocal cord paralysis or atrophy. Acta Otolaryngol (Stockh.), 80, 1975, s. 465-473.

7. Kučera, M., Dršata, J., Nováková, I.: Zkušenosti s medializací hlasivek při léčbě insuficience hlasivkového uzávěru – úvod do problematiky a historie. Otorinolaryng. a Foniat. /Prague/, 49, 2000, 4, s. 200-204.

8. Kučera, M., Sršatá, J., Nováková, I.: Zkušenosti s medializací hlasivek při léčbě insuficience hlasivkového uzávěru – hodnocení výsledků. Otorinolaryng. a Foniat. /Prague/, 49, 2000, 4, s. 205-208.

9. Pellant, A., Chrobok, V., Šram, F., Švec, J.: Naše zkušenosti s tyreoplastikou typ I. Otorinolaryng. a Foniat. /Prague/, 48, 1999, 4, s. 222-226.

10. Pellan, A., Chrobok, V., Šram, F., Preisler, J.: Fonochirurgie a její současný stav. Otorinolaryng. a Foniat. /Prague/, 49, 2000, 1, s. 19-21.

11. Remacle, M., Friedrich, G., Dikkers, F. G., De Jong, F.: Phonosurgery of the vocal folds: a classification proposal. Eur Arch. Otorhinolaryngol, 260, 2003, s. 1-6.

Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)
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