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Long-term Evaluation of Type 2 Thyroplasty with Titanium Bridges for Adductor Spasmodic Dysphonia
- Source :
- Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 157(1)
- Publication Year :
- 2017
-
Abstract
- Objectives Standard treatments of adductor spasmodic dysphonia (AdSD) provide temporary relief of symptoms. Type 2 thyroplasty offers a long-term solution; however, long-term voice outcome data are lacking. The objective of this study was to assess the long-term voice outcomes of type 2 thyroplasty with titanium bridges through use of a validated voice questionnaire. Study Design Case series with chart review. Setting University hospital. Subjects and Methods Forty-seven consecutively enrolled patients with AdSD underwent type 2 thyroplasty with titanium bridges between August 2006 and November 2014. Questionnaires were completed during regularly scheduled follow-ups and, in some cases, were sent to patients who missed follow-up appointments. In 2015, questionnaires were mailed to all 47 patients and included a Voice Handicap Index-10 evaluation, as well as questions on postoperative vocal symptoms, surgical site, and status of the implanted titanium bridges. Results Of 47 patients with AdSD, 31 (66%) completed the questionnaires. The average follow-up interval was 41.3 months. No patient reported experiencing an adverse event around the surgical site, and almost all were satisfied with their voices postoperatively. The mean postoperative (>3 years) Voice Handicap Index-10 score improved significantly, from 26.3 to 9.4 (n = 17, P = .0009). Conclusions Type 2 thyroplasty for AdSD significantly improved patient quality of life and voice symptoms and continued to do so long after the surgery. The results of this study suggest that type 2 thyroplasty provides relief from vocal symptoms in patients with AdSD for >3 years.
- Subjects :
- Adult
Male
medicine.medical_specialty
Voice Quality
Audiology
Prosthesis Implantation
03 medical and health sciences
Laryngoplasty
0302 clinical medicine
Thyroplasty
Quality of life
Chart review
Surveys and Questionnaires
Surgical site
medicine
Humans
030223 otorhinolaryngology
Adverse effect
Aged
Titanium
business.industry
Prostheses and Implants
Middle Aged
Dysphonia
Adductor spasmodic dysphonia
Treatment Outcome
Otorhinolaryngology
Physical therapy
Surgery
Voice handicap
Female
Outcome data
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 10976817
- Volume :
- 157
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery
- Accession number :
- edsair.doi.dedup.....01a212d3f9b7a0daaaf39a9d78dde2a2