Thyroplasty under Conscious Sedation using Dexmedetomidine: A Case Series

Thyroplasty is a surgical procedure done on the thyroid cartilage to improve voice quality and is performed only in a few centers. Either peri-operative voice testing or confirming the vocal cord movements with a fiberoptic bronchoscope (FOB) visualization can be used as a guide to enhance the resul...

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Main Authors: Raj Murugan, Sathyasuba Meenakshisundaram, Gayathri Ramesh, Raghuraman M Sethuraman
Format: Article
Language:English
Published: Duzce University 2025-08-01
Series:Düzce Tıp Fakültesi Dergisi
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Online Access:https://dergipark.org.tr/en/download/article-file/4490563
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author Raj Murugan
Sathyasuba Meenakshisundaram
Gayathri Ramesh
Raghuraman M Sethuraman
author_facet Raj Murugan
Sathyasuba Meenakshisundaram
Gayathri Ramesh
Raghuraman M Sethuraman
author_sort Raj Murugan
collection DOAJ
description Thyroplasty is a surgical procedure done on the thyroid cartilage to improve voice quality and is performed only in a few centers. Either peri-operative voice testing or confirming the vocal cord movements with a fiberoptic bronchoscope (FOB) visualization can be used as a guide to enhance the results in such cases. The anesthetic implications in such cases are less frequently reported. The published reports are mainly case series or retrospective analyses where cases were done under general anesthesia or deep sedation. This study aimed to present a series of thyroplasty cases wherein both voice testing and confirming the vocal cord movements with FOB visualization were done under conscious sedation, achieving a stable plan of sedation with dexmedetomidine infusion. Conscious sedation with dexmedetomidine as the sole agent for the maintenance of sedation can be safely adopted for these procedures.
format Article
id doaj-art-c975ff08fb9c42d1bd032aed85bdd4f3
institution Kabale University
issn 1307-671X
language English
publishDate 2025-08-01
publisher Duzce University
record_format Article
series Düzce Tıp Fakültesi Dergisi
spelling doaj-art-c975ff08fb9c42d1bd032aed85bdd4f32025-08-25T14:57:20ZengDuzce UniversityDüzce Tıp Fakültesi Dergisi1307-671X2025-08-0127222322610.18678/dtfd.161281897Thyroplasty under Conscious Sedation using Dexmedetomidine: A Case SeriesRaj Murugan0https://orcid.org/0000-0001-6087-5456Sathyasuba Meenakshisundaram1https://orcid.org/0000-0002-7134-341XGayathri Ramesh2https://orcid.org/0000-0002-3417-3087Raghuraman M Sethuraman3https://orcid.org/0000-0001-8464-7458Sree Balaji Medical College & HospitalSree Balaji Medical College & HospitalSree Balaji Medical College & HospitalSree Balaji Medical College & HospitalThyroplasty is a surgical procedure done on the thyroid cartilage to improve voice quality and is performed only in a few centers. Either peri-operative voice testing or confirming the vocal cord movements with a fiberoptic bronchoscope (FOB) visualization can be used as a guide to enhance the results in such cases. The anesthetic implications in such cases are less frequently reported. The published reports are mainly case series or retrospective analyses where cases were done under general anesthesia or deep sedation. This study aimed to present a series of thyroplasty cases wherein both voice testing and confirming the vocal cord movements with FOB visualization were done under conscious sedation, achieving a stable plan of sedation with dexmedetomidine infusion. Conscious sedation with dexmedetomidine as the sole agent for the maintenance of sedation can be safely adopted for these procedures.https://dergipark.org.tr/en/download/article-file/4490563tiroplastibilinçli sedasyondeksmedetomidinfiberoptik bronkoskopthyroplastyconscious sedationdexmedetomidinefiberoptic bronchoscope
spellingShingle Raj Murugan
Sathyasuba Meenakshisundaram
Gayathri Ramesh
Raghuraman M Sethuraman
Thyroplasty under Conscious Sedation using Dexmedetomidine: A Case Series
Düzce Tıp Fakültesi Dergisi
tiroplasti
bilinçli sedasyon
deksmedetomidin
fiberoptik bronkoskop
thyroplasty
conscious sedation
dexmedetomidine
fiberoptic bronchoscope
title Thyroplasty under Conscious Sedation using Dexmedetomidine: A Case Series
title_full Thyroplasty under Conscious Sedation using Dexmedetomidine: A Case Series
title_fullStr Thyroplasty under Conscious Sedation using Dexmedetomidine: A Case Series
title_full_unstemmed Thyroplasty under Conscious Sedation using Dexmedetomidine: A Case Series
title_short Thyroplasty under Conscious Sedation using Dexmedetomidine: A Case Series
title_sort thyroplasty under conscious sedation using dexmedetomidine a case series
topic tiroplasti
bilinçli sedasyon
deksmedetomidin
fiberoptik bronkoskop
thyroplasty
conscious sedation
dexmedetomidine
fiberoptic bronchoscope
url https://dergipark.org.tr/en/download/article-file/4490563
work_keys_str_mv AT rajmurugan thyroplastyunderconscioussedationusingdexmedetomidineacaseseries
AT sathyasubameenakshisundaram thyroplastyunderconscioussedationusingdexmedetomidineacaseseries
AT gayathriramesh thyroplastyunderconscioussedationusingdexmedetomidineacaseseries
AT raghuramanmsethuraman thyroplastyunderconscioussedationusingdexmedetomidineacaseseries