Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold Paralysis
Medialization Thyroplasty Using Autologous Nasal Septal Cartilage for Treating Unilateral Vocal Fold Paralysis
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DOI：
10.3342/ceo.2011.4.3.142
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发表时间：
2011-09-01
影响因子：
3
通讯作者：
Farahat, Mohamad
中科院分区：
文献类型：
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作者：
Mesallam, Tamer A.;Khalil, Yasser A.;Farahat, Mohamad
目标。声门闭合持续不足主要是单侧声带运动受损的结果。由于随之而来的声音、呼吸和吞咽障碍，需要进行功能性手术治疗。该研究的目的是确定使用来自鼻子的自体间隔软骨进行内侧甲状腺成形术后的功能性声音结果。方法。 15 名患者（6 名女性和 9 名男性；年龄范围为 30 至 57 岁）使用自体鼻中隔软骨进行了外声带内侧化。所有患者在手术前后均进行了详细的功能检查，包括感知声音评估、喉频闪检查和声学声音分析。结果。所有患者均报告术后语音质量有所改善。喉频闪镜检查显示大多数患者术后声门几乎完全闭合。声学和感知声音评估显示术后有显着改善。结论。使用自体鼻中隔软骨植入物进行内侧甲状腺成形术可提供良好的组织耐受性，并显着改善主观和客观功能性声音结果。
Objectives. A persistent insufficiency of glottal closure is mostly a consequence of impaired unilateral vocal fold movement. Functional surgical treatment is required because of the consequential voice, breathing and swallowing impairments. The goal of the study was to determine the functional voice outcomes after medialization thyroplasty with using autologous septal cartilage from the nose.Methods. External vocal fold medialization using autologous nasal septal cartilage was performed on 15 patients (6 females and 9 males; age range, 30 to 57 years). Detailed functional examinations were performed for all the patients before and after the surgery and this included perceptual voice assessment, laryngostroboscopic examination and acoustic voice analysis.Results. All the patients reported improvement of voice quality post-operatively. Laryngostroboscopy revealed almost complete glottal closure after surgery in the majority of patients. Acoustic and perceptual voice assessment showed significant improvement post-operatively.Conclusion. Medialization thyroplasty using an autologous nasal septal cartilage implant offers good tissue tolerability and significant improvement of the subjective and objective functional voice outcomes.