Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-24T11:02:56.107Z Has data issue: false hasContentIssue false
  • English
  • Français

Marsupialisation and strap muscle transposition laryngoplasty for vocal cysts with vocal fold atrophy

Published online by Cambridge University Press:  03 August 2009

C-M Hsu  and
C-Y Su
C-M Hsu
Affiliation:
Department of Otolaryngology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan
C-Y Su*
Affiliation:
Department of Otolaryngology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan
*
Address for correspondence: Professor Chih-Ying Su, Department of Otolaryngology, Chang Gung Memorial Hospital, Kaohsiung Medical Center, 123 Ta-Pei Road, Niao-Sung Hsiang, Kaohsiung Hsien, Taiwan. Fax: 886 7 7313855 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

Vocal cysts with fold atrophy often result in more severe glottal incompetence than vocal cysts along during phonation. Although total excision or marsupialisation are reliable treatments for vocal fold cysts, any post-operative vocal deficit with significant glottal gap will need further treatment. This study aimed to evaluate the efficacy of combined treatment consisting of marsupialisation of the cyst immediately followed by strap muscle transposition laryngoplasty.

Method:

Under direct laryngomicroscopy, microscissors were used to make a disc-shaped incision encircling the equator of the cyst. After marsupialisation of the cyst, a simultaneous medialisation laryngoplasty with strap muscle transposition was performed.

Results:

Seven patients with vocal cysts and marked vocal fold atrophy were included in the study. After surgery, subjective improvement in voice quality was reported by all patients. Patients' glottal incompetence and vocal performance were markedly improved.

Conclusion:

Marsupialisation is a simple and effective surgical technique for vocal fold cysts. For cases of vocal cysts with marked vocal fold atrophy, marsupialisation followed by medialisation laryngoplasty with strap muscle transposition may be considered.

Keywords

Vocal CordsCystsLarynxOtorhinolaryngological Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 10 , October 2009 , pp. 1131 - 1136
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Altman, KW. Vocal fold masses. Otolaryngol Clin North Am 2007;40:1091–108CrossRefGoogle ScholarPubMed
2Shvero, J, Koren, R, Hadar, T, Yaniv, E, Sandbank, J, Feinmesser, R et al. Clinicopathologic study and classification of vocal cord cysts. Pathol Res Pract 2000;196:95–8CrossRefGoogle ScholarPubMed
3Smith, OD, Callanan, V, Harcourt, J, Albert, DM. Case report – intracordal cyst in a neonate. Int J Pediatr Otorhinolaryngol 2000;52:277–81CrossRefGoogle ScholarPubMed
4Bastian, RW. Benign vocal fold mucosal disorder. In: Charles, WC, Bruce, HH, eds. Otolaryngology – Head & Neck Surgery, 4th edn.Baltimore: Elsevier Mosby, 2004;2150–85Google Scholar
5Chang, HP, Chang, SY. An alternative surgical procedure for the treatment of vocal fold retention cyst. Otolaryngol Head Neck Surg 2003;128:470–7CrossRefGoogle ScholarPubMed
6Su, CY, Hsu, JL. Transoral laser marsupialization of epiglottic cyst. Laryngoscope 2007;117:1153–4CrossRefGoogle Scholar
7Su, CY, Chien, CY, Hwang, CF. A new transnasal approach to endocopic marsupialization of the nasolabial cyst. Laryngoscope 1999;109:1116–18CrossRefGoogle Scholar
8Isshiki, N. Vocal fold atrophy. In: Isshiki, N, ed. Phonosurgery: Theory and Practice. Tokyo: Springer-Verlag, 1989;105–9CrossRefGoogle Scholar
9Bray, D, Young, JP, Harries, ML. Complications after type one thyroplasty: is day-case surgery feasible? J Laryngol Otol 2008;122:715–18CrossRefGoogle Scholar
10Su, CY, Lui, CC, Lin, HC, Chiu, JF, Cheng, CA. A new paramedian approach to arytenoid adduction and strap muscle transposition for vocal fold medialization. Laryngoscope 2002;112:342–50CrossRefGoogle ScholarPubMed
11Su, CY, Tsai, SS, Chiu, JF, Cheng, CA. Medialization laryngoplasty with strap muscle transposition for vocal fold atrophy with or without sulcus vocalis. Laryngoscope 2004;114:1106–12CrossRefGoogle ScholarPubMed
12Su, CY, Chuang, HC, Tsai, SS, Chiu, JF. Bipedicled strap muscle transposition for vocal fold deficit after laser cordectomy in early glottic cancer patients. Laryngoscope 2005;115:528–33CrossRefGoogle ScholarPubMed
13Monday, LA, Cornut, G, Bouchayer, M, Roch, JB, Loire, R. Epidermoid cysts of the vocal cord. Ann Otol Rhinol Laryngol 1983;92:124–7CrossRefGoogle Scholar
14Shohet, JA, Courey, MS, Scott, MA, Ossoff, RH. Value of videostroboscopic parameters in differentiating true vocal fold cysts from polyps. Laryngoscope 1996;106:19–26CrossRefGoogle ScholarPubMed