<p class="abstract"><strong>Background:</strong> Vocal cord paralysis is a clinical sign caused by paralysis of intrinsic muscles of larynx due to dysfunction of recurrent laryngeal nerve or injury to the vagus nerve. One of the common and effective methods of medialization is by using silicone implants. This study was aimed at prospectively assessing and analysing the vocal outcomes and quality of life of patients in type 1 medialization thyroplasty using silicone implants.</p><p class="abstract"><strong>Methods:</strong> Prospective study of 18 months was done on 17 patients with unilateral vocal cord paralysis. Surgical procedure for the patients was standardized by using silicon implant to medialize the cord. The parameters used for the pre and post treatment objective analysis were stroboscopic analysis, psychoacoustic evaluation, maximum phonation time (MPT) and patient’s self-assessment. </p><p class="abstract"><strong>Results:</strong> In our study all 17 patients with unilateral vocal cord paralysis who were subjected to vocal cord medialization using silicone implant showed a statistically highly significant improvement in all the parameters of assessment. The mean preoperative MPT was 7.260 and post-operative MPT showed significant improvement and was 17.428 seconds. mean preoperative GRBAS score was 11.695 and post-operative was 3.826. Similarly, pre op vocal handicap index was 31.173 which decreased significantly after the procedure was 7.695.</p><p class="abstract"><strong>Conclusions:</strong> In the present study, we obtained favourable results of medialization thyroplasty as expressed by objective analysis of voice including GRABS score and acoustic analysis as well as maximum phonation time apart from traditional voice recording.</p><p> </p>
<p><strong>Background:</strong> The objective of the study was to evaluate the quality of life before and after septoplasty among patients with nasal obstruction.</p><p><strong>Methods:</strong> This study was done in Government Medical College Srinagar from September 2017 to September 2018 for a period of 12 months. A total of 33 patients with deviated nasal septum who underwent septoplasty were included in the study. They were given a questionnaire nasal obstruction symptom evaluation (NOSE) to be fulfilled preoperatively, then 3 months and at 6 months after surgery.</p><p><strong>Results: </strong>The preoperative NOSE score was 72.62±22.69 and postoperative score was 10.78±15.27 at 3 months, 5.72±10.1 at 6 months.</p><p><strong>Conclusions:</strong> Disease specific health related quality of life measured with NOSE in patients undergoing septoplasty showed improvement at 3 months and 6 months postoperatively.</p>
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