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Thyroplasty for functional rehabilitation of the incompetent larynx

Published online by Cambridge University Press:  29 June 2007

M. F. Abdel-Aziz ,
N. A. Gad El-Hak  and
P. N. Carding
M. F. Abdel-Aziz*
Affiliation:
Department of Otolaryngology, the University of Tanta, Egypt.
N. A. Gad El-Hak
Affiliation:
Department of Surgery, Gastroenterology Unit, University of Elmansoura, Egypt.
P. N. Carding
Affiliation:
Department of Speech Therapy, Freeman Hospital, Newcastle, UK.
*
Address for correspondence: Mahmoud F. Abdel-Aziz, P. O. Box 159, Tanta, Egypt. Fax: 00-20-40 331800
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Abstract

Type I thyroplasty was performed in 12 patients with unilateral paralysis of the vocal fold. Subjective as well as objective improvement in vocal performance was reported in 11 patients. Aspiration was improved in six out of eight patients. Effort closure was evaluated by the ability of the patient to voluntarily raise his intra-abdominal pressure during Valsalva's manoeuvre. A comparison of pre- and post-thyroplasty measures, showed a statistically significant improvement in the efficacy of effort glottic closure (p < 0.05), indicating a better physical performance. We had one case of wound sepsis and another case of implant extrusion.

Keywords

Vocal fold paralysis, surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 112 , Issue 12 , December 1998 , pp. 1172 - 1175
Copyright
Copyright © JLO (1984) Limited 1998

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