Superomedial submucosal partial arytenoidectomy for improved posterior glottic closure: surgical technique and case presentation.
Ann Otol Rhinol Laryngol
; 123(5): 347-52, 2014 May.
Article
em En
| MEDLINE
| ID: mdl-24668053
ABSTRACT
OBJECTIVE:
Endoscopic medial partial arytenoidectomy has been described previously for expansion of the posterior glottic airway in bilateral vocal fold paralysis. Superomedial submucosal partial arytenoidectomy (SSPA), a modification of this technique, can improve glottic closure in the setting of an obstructing anteromedially prolapsed arytenoid. We present our surgical technique and a case example. METHODS ANDRESULTS:
A 45-year-old man presented with dysphonia attributable to unilateral true vocal fold paralysis. Laryngoscopy revealed right true vocal fold atrophy and an anteriorly prolapsed right arytenoid cartilage preventing posterior glottic closure during adduction. Right SSPA and ipsilateral vocal fold injection augmentation were performed without complication. One-month and 11-month postoperative evaluations showed marked improvement in voice, with complete glottic closure. Quality-of-life assessment and patient report showed a durable result at 50 months.CONCLUSION:
SSPA may be a valuable technique in the management of breathy dysphonia associated with posterior glottic gap and other sequelae of the malpositioned arytenoid.Palavras-chave
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Cartilagem Aritenoide
/
Paralisia das Pregas Vocais
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Ann Otol Rhinol Laryngol
Ano de publicação:
2014
Tipo de documento:
Article
País de afiliação:
Estados Unidos