Arytenopexy with medialization thyroplasty and cricothyropexy in the treatment of unilateral vocal fold paralysis: A 15-year experience
Year: 2025
Type: article
Study design: Observational Study
Abstract: • Combined arytenopexy, thyroplasty, and cricothyropexy improved voice in unilateral vocal fold paralysis. • All procedures were safely done under local anesthesia with sedation and no respiratory complications. • Functional outcomes were satisfactory or optimal, even in cases with posterior glottic gap. • Most patients resumed oral feeding post-op; aspiration and dysphonia were effectively corrected. • Long-term complications were rare and did not significantly impact vocal outcomes. To evaluate our experience with the technique, functional results, and potential complications. 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. 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. 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. Level IV.
Institution: Hospital Felício Rocho
Language: English
Topic: Voice and Speech Disorders
Subfield: Physiology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,070
OpenAlex ID: W4409745595