Pub Date : 2019-12-01DOI: 10.5005/jp-journals-10023-1173
B. B. V. Latoszek, Ewa Latoszek
Ab s t r Ac t Objective: The present study aimed to evaluate perceived recovery effects of drops after vocal loading. Particularly, thyme was evaluated, which has promising effects on the mucosa, throat, and airway system. Materials and methods: In total, 48 of 56 vocally healthy professional voice users were included because they presented with vocal fatigue after vocal loading. The subjects were randomized into two groups who received a thyme drop (TD), or a placebo drop (PD), after a 20-minute vocal loading task. The recovery effect by using drops was rated perceptually. Results: The results of the self-perceived rating showed higher significant outcomes for the TD group (p = 0.050 to p = 0.002). The TD group revealed a higher agreement for perceived well-being in the throat (i.e., 83.3%), a higher comfort in talking (i.e., 50.0%), and lower malaise/pain in the throat (58.3%) than the PD group (i.e., agreement of 50.0%, 16.7%, and 20.8%, respectively). Conclusion: Thyme drops might increase the comfort, well-being in the throat, and talking after vocal loading. Further research is necessary to investigate thyme and drops as potential benefit for professional voice users with high vocal loading.
目的:本研究旨在评价声带负荷后滴液的知觉恢复效果。特别是，百里香对粘膜、咽喉和气道系统有良好的作用。材料与方法:在56名声音健康的专业声音使用者中，有48人在声音负荷后出现了声音疲劳。受试者被随机分为两组，在20分钟的声音加载任务后，他们分别服用百里香滴剂(TD)和安慰剂滴剂(PD)。使用滴剂的恢复效果由知觉评定。结果:TD组自我知觉评分结果显著高于对照组(p = 0.050 ~ p = 0.002)。与PD组(分别为50.0%、16.7%和20.8%)相比，TD组在感知喉咙健康(即83.3%)、谈话舒适(即50.0%)和喉咙不适/疼痛(58.3%)方面表现出更高的一致性。结论:百里香滴剂可增加声带负荷后的舒适、咽喉健康和说话能力。需要进一步的研究来调查百里香和滴剂对高声音负荷的专业声音使用者的潜在益处。
{"title":"Perceptual Recovery Effects of Thyme Drops after Vocal Loading for Professional Voice Users: A Randomized Placebo-controlled Single-blind Trial","authors":"B. B. V. Latoszek, Ewa Latoszek","doi":"10.5005/jp-journals-10023-1173","DOIUrl":"https://doi.org/10.5005/jp-journals-10023-1173","url":null,"abstract":"Ab s t r Ac t Objective: The present study aimed to evaluate perceived recovery effects of drops after vocal loading. Particularly, thyme was evaluated, which has promising effects on the mucosa, throat, and airway system. Materials and methods: In total, 48 of 56 vocally healthy professional voice users were included because they presented with vocal fatigue after vocal loading. The subjects were randomized into two groups who received a thyme drop (TD), or a placebo drop (PD), after a 20-minute vocal loading task. The recovery effect by using drops was rated perceptually. Results: The results of the self-perceived rating showed higher significant outcomes for the TD group (p = 0.050 to p = 0.002). The TD group revealed a higher agreement for perceived well-being in the throat (i.e., 83.3%), a higher comfort in talking (i.e., 50.0%), and lower malaise/pain in the throat (58.3%) than the PD group (i.e., agreement of 50.0%, 16.7%, and 20.8%, respectively). Conclusion: Thyme drops might increase the comfort, well-being in the throat, and talking after vocal loading. Further research is necessary to investigate thyme and drops as potential benefit for professional voice users with high vocal loading.","PeriodicalId":221737,"journal":{"name":"International Journal of Phonosurgery & Laryngology","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130563885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.5005/jp-journals-10023-1175
R. Panigrahi, S. Jee
Malignant melanoma of the larynx is a rare cancer that can appear as a primary tumor or as a metastasis from a cutaneous head and neck primary site. It is known for its poor outcomes and survival. Owing to rarity of the disease every reported case of primary malignant melanoma of the larynx is important for understanding the natural course of disease, presentation, tumor biology, treatment, and prognosis for establishing guidelines for further management of the disease. Here we report a case of primary malignant melanoma of the larynx. Diagnosis was based on histological, immunohistochemical findings from excisional biopsy specimen from the larynx.
{"title":"Primary Malignant Melanoma of the Larynx: A Case Report","authors":"R. Panigrahi, S. Jee","doi":"10.5005/jp-journals-10023-1175","DOIUrl":"https://doi.org/10.5005/jp-journals-10023-1175","url":null,"abstract":"Malignant melanoma of the larynx is a rare cancer that can appear as a primary tumor or as a metastasis from a cutaneous head and neck primary site. It is known for its poor outcomes and survival. Owing to rarity of the disease every reported case of primary malignant melanoma of the larynx is important for understanding the natural course of disease, presentation, tumor biology, treatment, and prognosis for establishing guidelines for further management of the disease. Here we report a case of primary malignant melanoma of the larynx. Diagnosis was based on histological, immunohistochemical findings from excisional biopsy specimen from the larynx.","PeriodicalId":221737,"journal":{"name":"International Journal of Phonosurgery & Laryngology","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133788176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.5005/jp-journals-10023-1174
U. Menon, R. Balu, Vellani Kuttan Stella Mol
Ab s t r Ac t Background: Knowledge of the site of obstruction and the pattern of airway collapse is essential for determining correct surgical and medical management of patients with obstructive sleep apnea (OSA). To this end, several diagnostic tests and procedures have been developed. These include endoscopic and imaging modalities. However, the latter is not practical as it has issues of logistics and feasibility. The former includes routine awake flexible scopy (FS) in outpatient department and drug-induced sleep endoscopy (DISE). This study intends to compare the incidence of epiglottic fall, which is the most common laryngeal cause of OSA, in routine awake FS vs DISE. Materials and methods: Thirty patients with OSA were prospectively enrolled in this sectional analytic study. All underwent proper history taking, ENT evaluation including awake FS with Mullers maneuver, polysomnography, and DISE. The upper airway collapse was documented as per velum oropharynx tongue base epiglottis (VOTE) classification. Results: The incidence of epiglottic collapse seen in FS was 6.7% (2 patients) and in DISE was 40% (12 patients), which was statistically significant (p 0.002). Conclusion: Drug-induced sleep endoscopy is a more accurate diagnostic option for detecting the level of obstruction and degree of collapse, especially laryngeal collapse in OSA than FS.
{"title":"Usefulness of Drug-induced Sleep Endoscopy to Diagnose Laryngeal Cause in Obstructive Sleep Apnea Patients","authors":"U. Menon, R. Balu, Vellani Kuttan Stella Mol","doi":"10.5005/jp-journals-10023-1174","DOIUrl":"https://doi.org/10.5005/jp-journals-10023-1174","url":null,"abstract":"Ab s t r Ac t Background: Knowledge of the site of obstruction and the pattern of airway collapse is essential for determining correct surgical and medical management of patients with obstructive sleep apnea (OSA). To this end, several diagnostic tests and procedures have been developed. These include endoscopic and imaging modalities. However, the latter is not practical as it has issues of logistics and feasibility. The former includes routine awake flexible scopy (FS) in outpatient department and drug-induced sleep endoscopy (DISE). This study intends to compare the incidence of epiglottic fall, which is the most common laryngeal cause of OSA, in routine awake FS vs DISE. Materials and methods: Thirty patients with OSA were prospectively enrolled in this sectional analytic study. All underwent proper history taking, ENT evaluation including awake FS with Mullers maneuver, polysomnography, and DISE. The upper airway collapse was documented as per velum oropharynx tongue base epiglottis (VOTE) classification. Results: The incidence of epiglottic collapse seen in FS was 6.7% (2 patients) and in DISE was 40% (12 patients), which was statistically significant (p 0.002). Conclusion: Drug-induced sleep endoscopy is a more accurate diagnostic option for detecting the level of obstruction and degree of collapse, especially laryngeal collapse in OSA than FS.","PeriodicalId":221737,"journal":{"name":"International Journal of Phonosurgery & Laryngology","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125681651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-12-01DOI: 10.5005/jp-journals-10023-1176
Aparaajita Upadhyay, Anshu Singh, A. Shrivastava, R. Mundra
Ab s t r Ac t Introduction: Change in voice in the patient of laryngopharyngeal reflux is a common symptom. In this study, we are assessing the improvement in severity of the laryngopharyngeal reflux disease by its symptoms, signs, severity, and videostroboscopy to detect even earliest change and document it. Materials and methods: A prospective study in 50 subjects at a tertiary referral center who were subjected to answer a questionnaire of the voice handicap index, the reflux symptom index, and assessed reflux finding score and vocal fold mucosa changes by videostroboscopy. All subjects were reassessed after 12 weeks of treatment. Result: Improvement was found statistically significant (<0.05) in all parameters and scales. Conclusion: Preventing the insult by acid reflux in the laryngeal mucosa by proton pump inhibitors resulted in improvement of symptoms and signs, which proves the efficacy of treatment. Videostroboscopy is a useful tool to early diagnose the lesion.
{"title":"Outcome Analysis by Voice Assessment and Videostroboscopy in Laryngopharyngeal Reflux","authors":"Aparaajita Upadhyay, Anshu Singh, A. Shrivastava, R. Mundra","doi":"10.5005/jp-journals-10023-1176","DOIUrl":"https://doi.org/10.5005/jp-journals-10023-1176","url":null,"abstract":"Ab s t r Ac t Introduction: Change in voice in the patient of laryngopharyngeal reflux is a common symptom. In this study, we are assessing the improvement in severity of the laryngopharyngeal reflux disease by its symptoms, signs, severity, and videostroboscopy to detect even earliest change and document it. Materials and methods: A prospective study in 50 subjects at a tertiary referral center who were subjected to answer a questionnaire of the voice handicap index, the reflux symptom index, and assessed reflux finding score and vocal fold mucosa changes by videostroboscopy. All subjects were reassessed after 12 weeks of treatment. Result: Improvement was found statistically significant (<0.05) in all parameters and scales. Conclusion: Preventing the insult by acid reflux in the laryngeal mucosa by proton pump inhibitors resulted in improvement of symptoms and signs, which proves the efficacy of treatment. Videostroboscopy is a useful tool to early diagnose the lesion.","PeriodicalId":221737,"journal":{"name":"International Journal of Phonosurgery & Laryngology","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115632571","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-01DOI: 10.5005/JP-JOURNALS-10023-1166
S. Sanyal, A. Roychowdhury, R. Raychowdhury
{"title":"Phonosurgical Training in India: A Sample Survey","authors":"S. Sanyal, A. Roychowdhury, R. Raychowdhury","doi":"10.5005/JP-JOURNALS-10023-1166","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1166","url":null,"abstract":"","PeriodicalId":221737,"journal":{"name":"International Journal of Phonosurgery & Laryngology","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126600091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-01DOI: 10.5005/JP-JOURNALS-10023-1167
Suman Kumar, I. Chatterjee, J. Mandal, N. Chatterjee
{"title":"Successful Treatment of Dysphagia in Postoperative Medulloblastoma: A Case Study","authors":"Suman Kumar, I. Chatterjee, J. Mandal, N. Chatterjee","doi":"10.5005/JP-JOURNALS-10023-1167","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1167","url":null,"abstract":"","PeriodicalId":221737,"journal":{"name":"International Journal of Phonosurgery & Laryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132479416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-01DOI: 10.5005/JP-JOURNALS-10023-1169
N. Nerurkar, R. Shah
{"title":"Open Epidermoid Cysts of the Vocal Folds: Our Experience with Four Cases","authors":"N. Nerurkar, R. Shah","doi":"10.5005/JP-JOURNALS-10023-1169","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1169","url":null,"abstract":"","PeriodicalId":221737,"journal":{"name":"International Journal of Phonosurgery & Laryngology","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121721563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-01DOI: 10.5005/JP-JOURNALS-10023-1165
H. Hassan
Ab s t r Ac t Background: Office-based injection laryngoplasty is a surgical procedure that becomes more popular for vocal fold (VF) augmentation. Hydroxylapatite (Radiesse) is used to narrow the glottal gap in cases with glottal insufficiency. Objective: To assess voice outcome and patient’s quality of life in selected group of dysphonic patients using office-based hydroxylapatite injection under local anesthesia in cases with glottal insufficiency. Materials and methods: Forty-one patients with different voice disorders, namely sulcus vocalis, unilateral VF immobility, and VF atrophy were selected. All patients underwent office-based injection of hydroxylapatite under local anesthesia. All patients were evaluated by using auditory perceptual analysis, laryngeal videostroboscope (LVS), acoustic analysis, and voice handicap index (VHI) preoperatively and 3 months postoperatively. Results: Improvement in glottal gap in all groups of patients was measured by LVS examination. Also, there was significant improvement in acoustic correlates of dysphonia, namely jitter%, shimmer%, noise to harmonic ratio (NHR), and maximum phonation time (MPT) in patients with unilateral VF immobility and VF atrophy. Also improved quality postinjection was reported in all groups measured by VHI. Conclusion: Office-based injection laryngoplasty with hydroxylapatite is a reliable and effective procedure in management of mild and moderate glottal gap because of unilateral VF immobility and VF atrophy.
{"title":"Office-based Injection Laryngoplasty: Outcome after Hydroxylapatite Injection","authors":"H. Hassan","doi":"10.5005/JP-JOURNALS-10023-1165","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1165","url":null,"abstract":"Ab s t r Ac t Background: Office-based injection laryngoplasty is a surgical procedure that becomes more popular for vocal fold (VF) augmentation. Hydroxylapatite (Radiesse) is used to narrow the glottal gap in cases with glottal insufficiency. Objective: To assess voice outcome and patient’s quality of life in selected group of dysphonic patients using office-based hydroxylapatite injection under local anesthesia in cases with glottal insufficiency. Materials and methods: Forty-one patients with different voice disorders, namely sulcus vocalis, unilateral VF immobility, and VF atrophy were selected. All patients underwent office-based injection of hydroxylapatite under local anesthesia. All patients were evaluated by using auditory perceptual analysis, laryngeal videostroboscope (LVS), acoustic analysis, and voice handicap index (VHI) preoperatively and 3 months postoperatively. Results: Improvement in glottal gap in all groups of patients was measured by LVS examination. Also, there was significant improvement in acoustic correlates of dysphonia, namely jitter%, shimmer%, noise to harmonic ratio (NHR), and maximum phonation time (MPT) in patients with unilateral VF immobility and VF atrophy. Also improved quality postinjection was reported in all groups measured by VHI. Conclusion: Office-based injection laryngoplasty with hydroxylapatite is a reliable and effective procedure in management of mild and moderate glottal gap because of unilateral VF immobility and VF atrophy.","PeriodicalId":221737,"journal":{"name":"International Journal of Phonosurgery & Laryngology","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122495857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-01DOI: 10.5005/JP-JOURNALS-10023-1168
A. Salwa
Ab s t r Ac t Introduction: The laryngopharyngeal reflux (LPR) is defined as the retrograde flow of gastric contents to the upper respiratory tract causing mucosal damage. Objectives: The study aims to determine the relationship between the incidence of LPR and the presence of benign lesions of the vocal folds. Materials and methods: Using the reflux finding score (RFS), we determined the incidence of the LPR in patients with changes such as Reinke’s edema, polyps, and granulomas of the vocal folds. Results: The prevalence of pathologic LPR was 25% in the control group, 81% in the Reinke’s edema group, 60% in the vocal folds granulomas group, and 41% in the vocal cord polyps group. The most common manifestation of the LPR in the videolaryngoscopic examination is hypertrophy of the posterior commissure, which is anatomically explained by the closest location to the esophagus. Conclusion: In conclusion, the LPR might be an etiologic factor in Reinke’s edema, polyps, and granulomas of the vocal folds.
{"title":"Importance of Laryngopharyngeal Reflux in the Incidence of Benign Vocal Folds’ Lesions","authors":"A. Salwa","doi":"10.5005/JP-JOURNALS-10023-1168","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1168","url":null,"abstract":"Ab s t r Ac t Introduction: The laryngopharyngeal reflux (LPR) is defined as the retrograde flow of gastric contents to the upper respiratory tract causing mucosal damage. Objectives: The study aims to determine the relationship between the incidence of LPR and the presence of benign lesions of the vocal folds. Materials and methods: Using the reflux finding score (RFS), we determined the incidence of the LPR in patients with changes such as Reinke’s edema, polyps, and granulomas of the vocal folds. Results: The prevalence of pathologic LPR was 25% in the control group, 81% in the Reinke’s edema group, 60% in the vocal folds granulomas group, and 41% in the vocal cord polyps group. The most common manifestation of the LPR in the videolaryngoscopic examination is hypertrophy of the posterior commissure, which is anatomically explained by the closest location to the esophagus. Conclusion: In conclusion, the LPR might be an etiologic factor in Reinke’s edema, polyps, and granulomas of the vocal folds.","PeriodicalId":221737,"journal":{"name":"International Journal of Phonosurgery & Laryngology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128756208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-06-01DOI: 10.5005/JP-JOURNALS-10023-1171
Kandakure Vinod Tukaram, R. Joshi
Ab s t r A c t Aim: To demonstrate the functional voice outcomes following external medialization thyroplasty using autologous cartilage from the nasal septum. Materials and methods: The study included four patients (three males and one female) who presented to the ENT outpatient department diagnosed with unilateral vocal fold paralysis. Medialization thyroplasty type I was performed for all the patients using autologous nasal septal cartilage with the patients under local anesthesia. Results: All four patients showed significant improvement in the form of glottis closure on laryngoscopic examination. Complete glottis closure was achieved in three patients while one patient had a small posterior glottis gap. The maximum phonation duration improved significantly in three patients, i.e., average 13.33 seconds; while one patient with the small posterior glottis gap showed minor improvement, i.e., 7.1 seconds. However, the complaint of aspiration of liquids was relieved in all the four patients. Conclusion: External medialization thyroplasty using an autologous nasal septal cartilage graft is considered safe and efficient phonosurgical procedure and provides proper positional adjustment of the paralyzed vocal fold with significant improvement in the subjective and objective functional voice outcomes.
{"title":"Medialization Thyroplasty Using Nasal Septal Cartilage: Our Experience","authors":"Kandakure Vinod Tukaram, R. Joshi","doi":"10.5005/JP-JOURNALS-10023-1171","DOIUrl":"https://doi.org/10.5005/JP-JOURNALS-10023-1171","url":null,"abstract":"Ab s t r A c t Aim: To demonstrate the functional voice outcomes following external medialization thyroplasty using autologous cartilage from the nasal septum. Materials and methods: The study included four patients (three males and one female) who presented to the ENT outpatient department diagnosed with unilateral vocal fold paralysis. Medialization thyroplasty type I was performed for all the patients using autologous nasal septal cartilage with the patients under local anesthesia. Results: All four patients showed significant improvement in the form of glottis closure on laryngoscopic examination. Complete glottis closure was achieved in three patients while one patient had a small posterior glottis gap. The maximum phonation duration improved significantly in three patients, i.e., average 13.33 seconds; while one patient with the small posterior glottis gap showed minor improvement, i.e., 7.1 seconds. However, the complaint of aspiration of liquids was relieved in all the four patients. Conclusion: External medialization thyroplasty using an autologous nasal septal cartilage graft is considered safe and efficient phonosurgical procedure and provides proper positional adjustment of the paralyzed vocal fold with significant improvement in the subjective and objective functional voice outcomes.","PeriodicalId":221737,"journal":{"name":"International Journal of Phonosurgery & Laryngology","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114757474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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