Analysis of laryngeal framework surgery: 10‐year follow‐up to a national survey

Young, VyVy N.; Zullo, Thomas G.; Rosen, Clark A.

doi:10.1002/lary.21004

Cited by 82 publications

(115 citation statements)

References 16 publications

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“…Medialization by thyroplasty is a ''gold standard'' for patients with glottic gap more than 3 mm. 1,2,23 CONCLUSION Vocal fold augmentation with Restylane can be offered to patients with UVP and dysphonia because of glottal gap who do not want definite surgery (such as thyroplasty). By closing the gap, subsequent speech therapy is made easier.…”

Section: Reiter Rudolf and Brosch Sibylle Laryngoplasty With Hyaluronmentioning

confidence: 99%

Laryngoplasty With Hyaluronic Acid in Patients With Unilateral Vocal Fold Paralysis

Reiter¹,

Brosch²

2012

Journal of Voice

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Section: Reiter Rudolf and Brosch Sibylle Laryngoplasty With Hyaluronmentioning

confidence: 99%

Laryngoplasty With Hyaluronic Acid in Patients With Unilateral Vocal Fold Paralysis

Reiter¹,

Brosch²

2012

Journal of Voice

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“…The response rate is similar to other mail-based survey studies. 22,23 A self-selection bias is likely to have occurred. Teachers with voice disorders may have been more likely to participate in the study, inflating results, such as the prevalence rates of dysphonia.…”

Section: Discussionmentioning

confidence: 99%

Voice Disorders in Primary School Teachers and Barriers to Care

et al. 2012

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“…232 All procedures to rehabilitate UVFP are considered safe and effective with very high success rates documented. 225,[233][234][235][236] Few direct comparisons have suggested that one procedure is superior to another. 225 The surgeon must bear in mind that if there is concern regarding aggressive thyroid malignancy with possible or probable local recurrence requiring further treatment, it may be prudent to avoid further incisions in the neck with or without placement of foreign materials in that location.…”

mentioning

confidence: 99%

Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Surgery

Chandrasekhar

Randolph

Seidman³

et al. 2013

Otolaryngol.--head neck surg.

355

100

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Objective. Thyroidectomy may be performed for clinical indications that include malignancy, benign nodules or cysts, suspicious findings on fine needle aspiration biopsy, dysphagia from cervical esophageal compression, or dyspnea from airway compression. About 1 in 10 patients experience temporary laryngeal nerve injury after surgery, with longer lasting voice problems in up to 1 in 25. Reduced quality of life after thyroid surgery is multifactorial and may include the need for lifelong medication, thyroid suppression, radioactive scanning/treatment, temporary and permanent hypoparathyroidism, temporary or permanent dysphonia postoperatively, and dysphagia. This clinical practice guideline provides evidence-based recommendations for management of the patient's voice when undergoing thyroid surgery during the preoperative, intraoperative, and postoperative period.Purpose. The purpose of this guideline is to optimize voice outcomes for adult patients aged 18 years or older after thyroid surgery. The target audience is any clinician involved in managing such patients, which includes but may not be limited to otolaryngologists, general surgeons, endocrinologists, internists, speech-language pathologists, family physicians and other primary care providers, anesthesiologists, nurses, and others who manage patients with thyroid/voice issues. The guideline applies to any setting in which clinicians may interact with patients before, during, or after thyroid surgery. Children under age 18 years are specifically excluded from the target population; however, the panel understands that many of the findings may be applicable to this population. Also excluded are patients undergoing concurrent laryngectomy. Although this guideline is limited to thyroidectomy, some of the recommendations may extrapolate to parathyroidectomy as well.Results. The guideline development group made a strong recommendation that the surgeon should identify the recurrent laryngeal nerve(s) during thyroid surgery. The group made recommendations that the clinician or surgeon should (1) document assessment of the patient's voice once a decision has been made to proceed with thyroid surgery; (2) examine vocal fold mobility, or refer the patient to a clinician who can examine vocal fold mobility, if the patient's voice is impaired and a decision has been made to proceed with thyroid surgery; (3) examine vocal fold mobility, or refer the patient to a clinician who can examine vocal fold mobility, once a decision has been made to proceed with thyroid surgery if the patient's voice is normal and the patient has (a) thyroid cancer with suspected extrathyroidal extension, or (b) prior neck surgery that increases the risk of laryngeal nerve injury (carotid endarterectomy, anterior approach to the cervical spine, cervical esophagectomy, and prior thyroid or parathyroid surgery), or (c) both; (4) educate the patient about the potential impact of thyroid surgery on voice once a decision has been made to proceed with thyroid surgery; (5) inform the anesthesi...

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Analysis of laryngeal framework surgery: 10‐year follow‐up to a national survey

Cited by 82 publications

References 16 publications

Laryngoplasty With Hyaluronic Acid in Patients With Unilateral Vocal Fold Paralysis

Laryngoplasty With Hyaluronic Acid in Patients With Unilateral Vocal Fold Paralysis

Voice Disorders in Primary School Teachers and Barriers to Care

Clinical Practice Guideline: Improving Voice Outcomes after Thyroid Surgery

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