Injection Medialization For Unilateral Vocal Fold Paralysis: Effect Of Timing On Need For Open Laryngeal Procedures.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Vocal Fold Medialisation By Injection Of Tissue Fillers Has Been Used To Close Small Phonatory Gaps In Cases Of Unilateral Vocal Fold Paralysis (UVFP). Some Of These Patients May Also Require Vocal Fold Medialization Using Open Thyroplasty Procedures. The Aim Of The Present Study Is To Determine Whether Temporary Vocal Fold Injection Affects The Need For Permanent Medialization Thyroplasty In Patients With Unilateral Vocal Fold Paralysis. The Study Involves A Retrospective Analysis Of 34 Consecutive Patients Meeting Inclusion Criterion Undergoing Vocal Fold Injection Medialisation Laryngoplasty For UVFP Using Two Different Tissue Fillers (I.E. Hyaluronic Acid And Agarose Gel). Rates Of Permanent Medialization Laryngoplasty In Patients Undergoing Vocal Fold Injection Before And After 6 Months Of Onset Of UVFP Were Compared. A Total Of 22 Patients Underwent Temporary Injection Medialization Within 6 Months Of Onset Of UVFP And 12 Patients Underwent The Procedure Beyond 6 Months. All The Patients Had A Statistically Significant Improvement In Voice Following The Procedure. Only 6 Of The 22 Patients With Early Injection Medialization (< 6 Months) Subsequently Underwent Permanent Medialization Thyroplasty Compared To 9 Of The 12 Patients With Late Injection Medialization (> 6 Months) (P < .05, Paired T-Test). In Conclusion, Patients Receiving Early Injection Medialization For Vocal Cord Paralysis Were Less Likely To Require Permanent Injection Medialization.
Authors and Affiliations
Dr Deepika Sethi, Dr Ashwani Sethi, Dr. A. K. Mishra, Dr A. Mallick
Keywords
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- EP ID EP374003
- DOI 10.9790/0853-1705026972.
- Views 68
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