Medialization Thyroplasty Window Creation Using an Ultrasonic Surgical Aspirator

Halum, Stacey L.; Patel, Nalin J.; Hoffman, Raymond G.; Simpson, C. Blake; Meratı, Albert L.

doi:10.1097/01.mlg.0000150687.93011.00

Cited by 4 publications

(7 citation statements)

References 13 publications

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“…The ultrasonic bone aspirator shows promise in reducing this potential complication because of its tissue selectivity. A cadaveric study comparing laryngeal windows made with a standard surgical drill on one side versus the ultrasonic bone aspirator on the other has been performed 52 . Outcome measures were: time required to create the window and perichondrium status.…”

Section: Piezosurgery In Laryngologymentioning

confidence: 99%

“…As with any new technology, the learning curve for an instrument must be considered. A comparison of senior surgical staff and residents using both the ultrasonic bone aspirator and rotating drills for the creation of laryngeal windows suggested that the ultrasonic bone aspirator technique is ‘easily learned’, with resident performance times ‘closer to staff performance times using the aspirator for laryngeal window construction’ compared to the drill 52 53 …”

Section: Piezosurgery Limitationsmentioning

confidence: 99%

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Piezoelectric technology in otolaryngology, and head and neck surgery: a review

Meller

Havas

2017

J. Laryngol. Otol.

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Piezoelectric technology has been successfully employed, particularly in otology and skull base surgery, where its specific advantages versus traditional drills include a lack of 'blunting' and tissue selectivity. Technical advantages include ease of use, a short learning curve and improved visibility. Its higher cost warrants consideration given that clinically significant improvements in operative time and morbidity have not yet been proven. Further studies may define the evolving role of piezoelectric surgery in otolaryngology, and head and neck surgery.

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Section: Piezosurgery In Laryngologymentioning

confidence: 99%

Section: Piezosurgery Limitationsmentioning

confidence: 99%

Piezoelectric technology in otolaryngology, and head and neck surgery: a review

Meller

Havas

2017

J. Laryngol. Otol.

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“…Therefore, this technique is not inferior to standard techniques with regard to operative time. According to Halum et al, thyroplasty windows can be created with the ultrasonic device in less time and with fewer perichondrial violations than with the drill . In this cadaveric study, comparison of 10 cartilage windows created with the drill and 10 windows created with ultrasonic dissection, a mean time of 128 seconds and 91 seconds was recorded, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…The surgical drill with a small cutting or diamond burr is used adjunctively to overcome this frequent anatomic variant. Halum et al first described ultrasonic surgical system thyroplasty window creation in cadavers …”

Section: Introductionmentioning

confidence: 99%

Ultrasonic surgical aspirator‐assisted phonosurgery: A novel technique for laryngeal cartilage dissection

et al. 2014

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“…We made the window with the knife or drill. An ultrasonic surgical aspirator may be an effective, efficient alternative to the standard drill for making the thyrotomy window [15] , but it was not used here.…”

Section: Discussionmentioning

confidence: 99%

Medialization Thyroplasty with a Customized Silicone Implant: Clinical Experience

Chrobok

Pellant

Sram

et al. 2008

Folia Phoniatr Logop

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The authors implemented medialization thyroplasty with a customized silicone implant in a total of 43 operations (36 patients) in 1999–2003. In 5 of these patients, the medialization thyroplasty was combined with cricothyroid subluxation (3 cases) or adduction of arytenoid cartilage (3 cases). One patient received medialization thyroplasty, cricothyroid subluxation and adduction of arytenoid cartilage. Postoperatively 36 patients reported substantial reduction of their complaints, 5 patients found their voice improved and only 2 patients (5.6%) stated that their voice had not changed. The subjective evaluation was consistent with the findings of laryngoscopy and the preoperative and postoperative phonation parameters (maximum phonation time, maximum sound pressure level, jitter and shimmer). Average maximum phonation time was 6.5 s before surgery and 12.5 s after surgery. Maximum vocal sound pressure level was, on average, about 4 dB higher after surgery. Jitter was reduced from 5.3 to 3.7% and shimmer from 32.3 to 18.6%. The differences between presurgical and postsurgical parameters in our study were all statistically significant, indicating voice improvement. Medialization thyroplasty with a silicone implant was proven to be a successful and safe surgical method for the treatment of vocal fold paralysis.

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Medialization Thyroplasty Window Creation Using an Ultrasonic Surgical Aspirator

Abstract: The study suggested that the ultrasonic surgical aspirator device may be an effective, efficient alternative to the standard drill for medialization thyroplasty window creation. Prospective clinical trials are warranted to better characterize its applicability.

Cited by 4 publications

References 13 publications

Piezoelectric technology in otolaryngology, and head and neck surgery: a review

Piezoelectric technology in otolaryngology, and head and neck surgery: a review

Ultrasonic surgical aspirator‐assisted phonosurgery: A novel technique for laryngeal cartilage dissection

Medialization Thyroplasty with a Customized Silicone Implant: Clinical Experience

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