Arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis: a 15-year experience
, Bernardo Scarioli Oliveira, Mauro Becker Martins Vieira, Flávia Amarante Cardoso, Lívia Bernardi Lopes, Marianna Novaes da Costa Avila, Kênia Rabelo Santana de Farias
Introduction: Unilateral vocal fold paralysis can have significant repercussion on quality of life. Several surgical procedures have been designed to improve dysphonia, dysphagia and gagging, with emphasis on type 1 (medialization) thyroplasty and vocal fold injection. 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.
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