Arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis: A 15-year experience
Objective: To evaluate our experience with the technique, functional results, and potential complications. Methods: A retrospective study was conducted with a sample of 29 patients submitted to this surgical procedure between 2000 and 2015. All procedures were performed under local anesthesia with s...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-07-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1808869425000461 |
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| author | Bernardo Scarioli Oliveira Mauro Becker Martins Vieira Flávia Amarante Cardoso Lívia Bernardi Lopes Marianna Novaes da Costa Avila Kênia Rabelo Santana de Farias |
| author_facet | Bernardo Scarioli Oliveira Mauro Becker Martins Vieira Flávia Amarante Cardoso Lívia Bernardi Lopes Marianna Novaes da Costa Avila Kênia Rabelo Santana de Farias |
| author_sort | Bernardo Scarioli Oliveira |
| collection | DOAJ |
| description | Objective: To evaluate our experience with the technique, functional results, and potential complications. Methods: A retrospective study was conducted with a sample of 29 patients submitted to this surgical procedure between 2000 and 2015. All procedures were performed under local anesthesia with sedation, and without intercurrences. Hospitalization time was 24 h on average. Results: None of the patients presented respiratory distress that required tracheostomy. Regarding vocal quality, the results were considered satisfactory or optimal, with high degree of patient satisfaction. With respect to dysphagia, all patients who needed enteral nutrition resumed exclusive peroral diet. Conclusion: Arytenopexy with medialization thyroplasty and cricothyropexy are procedures with low degree of complication that can be performed under local anesthesia with excellent functional results, even in patients with marked posterior glottic gap. Level of evidence: Level IV. |
| format | Article |
| id | doaj-art-5f46ec02e595495f8d4c7e296a5b769b |
| institution | Kabale University |
| issn | 1808-8694 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj-art-5f46ec02e595495f8d4c7e296a5b769b2025-08-20T03:26:27ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942025-07-019110160310.1016/j.bjorl.2025.101603Arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis: A 15-year experienceBernardo Scarioli Oliveira0Mauro Becker Martins Vieira1Flávia Amarante Cardoso2Lívia Bernardi Lopes3Marianna Novaes da Costa Avila4Kênia Rabelo Santana de Farias5Corresponding author.; Hospital Felicio Rocho, Departamento de Otorrinolaringologia, Belo Horizonte, MG, BrazilHospital Felicio Rocho, Departamento de Otorrinolaringologia, Belo Horizonte, MG, BrazilHospital Felicio Rocho, Departamento de Otorrinolaringologia, Belo Horizonte, MG, BrazilHospital Felicio Rocho, Departamento de Otorrinolaringologia, Belo Horizonte, MG, BrazilHospital Felicio Rocho, Departamento de Otorrinolaringologia, Belo Horizonte, MG, BrazilHospital Felicio Rocho, Departamento de Otorrinolaringologia, Belo Horizonte, MG, BrazilObjective: To evaluate our experience with the technique, functional results, and potential complications. Methods: A retrospective study was conducted with a sample of 29 patients submitted to this surgical procedure between 2000 and 2015. All procedures were performed under local anesthesia with sedation, and without intercurrences. Hospitalization time was 24 h on average. Results: None of the patients presented respiratory distress that required tracheostomy. Regarding vocal quality, the results were considered satisfactory or optimal, with high degree of patient satisfaction. With respect to dysphagia, all patients who needed enteral nutrition resumed exclusive peroral diet. Conclusion: Arytenopexy with medialization thyroplasty and cricothyropexy are procedures with low degree of complication that can be performed under local anesthesia with excellent functional results, even in patients with marked posterior glottic gap. Level of evidence: Level IV.http://www.sciencedirect.com/science/article/pii/S1808869425000461Vocal fold paralysisLaryngoplastyVocal folds |
| spellingShingle | Bernardo Scarioli Oliveira Mauro Becker Martins Vieira Flávia Amarante Cardoso Lívia Bernardi Lopes Marianna Novaes da Costa Avila Kênia Rabelo Santana de Farias Arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis: A 15-year experience Brazilian Journal of Otorhinolaryngology Vocal fold paralysis Laryngoplasty Vocal folds |
| title | Arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis: A 15-year experience |
| title_full | Arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis: A 15-year experience |
| title_fullStr | Arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis: A 15-year experience |
| title_full_unstemmed | Arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis: A 15-year experience |
| title_short | Arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis: A 15-year experience |
| title_sort | arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis a 15 year experience |
| topic | Vocal fold paralysis Laryngoplasty Vocal folds |
| url | http://www.sciencedirect.com/science/article/pii/S1808869425000461 |
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