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Outcomes in two patients with vocal fold palsy who underwent revision arytenoid adduction surgery

Published online by Cambridge University Press:  07 October 2019

K Matsushima ,
H Matsui ,
S Ohira  and
K Matsuura
K Matsushima*
Affiliation:
Department of Otolaryngology, Toho University Omori Medical Center, Tokyo, Japan
H Matsui
Affiliation:
Department of Otolaryngology, Toho University Omori Medical Center, Tokyo, Japan
S Ohira
Affiliation:
Department of Otolaryngology, Toho University Omori Medical Center, Tokyo, Japan
K Matsuura
Affiliation:
Department of Otolaryngology, Toho University Omori Medical Center, Tokyo, Japan
*
Author for correspondence: Dr Koji Matsushima, Department of Otolaryngology, Toho University Omori Medical Center, 6-11-1, Omorinishi, Otaku, Tokyo, Japan, Zip Code 143-8541 E-mail: yusa-k-beo@med.toho-u.ac.jp Fax: +81 3 762 4151
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Abstract

Objective

This study investigated the position of adduction thread attachment, pulling direction and fixation position in revision arytenoid adduction surgery performed in two patients with left vocal fold palsy in whom satisfactory speech improvement had not been obtained by arytenoid adduction and type 1 thyroplasty.

Methods

Revision arytenoid adduction surgery was performed with the vocal fold in the midline position in both cases. A type 1 thyroplasty procedure was subsequently added in one case because of worsened quality of speech following arytenoid adduction.

Results and conclusion

Although the arytenoid adduction procedure is conceptually well established, there is still room for debate concerning the actual surgical procedures used. The technique described in this report is effective, suggesting that it is worthy of recognition as an index procedure.

Keywords

Vocal Fold PalsyLaryngoplastySpeech IntelligibilityThyroplastyRevision Surgery

Information

Type
Clinical Record
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 11 , November 2019 , pp. 1017 - 1020
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr K Matsushima takes responsibility for the integrity of the content of the paper

References

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