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Voice changes following cricothyroidotomy

Published online by Cambridge University Press:  29 June 2007

M. J. Gleeson ,
R. C. Pearson ,
S. Armistead  and
A. K. Yates
M. J. Gleeson*
Affiliation:
Department of Cardiothoracic Surgery and Otolaryngology, Guy's Hospital, London.
R. C. Pearson
Affiliation:
Department of Cardiothoracic Surgery and Otolaryngology, Guy's Hospital, London.
S. Armistead
Affiliation:
Department of Cardiothoracic Surgery and Otolaryngology, Guy's Hospital, London.
A. K. Yates
Affiliation:
Department of Cardiothoracic Surgery and Otolaryngology, Guy's Hospital, London.
*
M. J. Gleeson Department of Otolaryngology, Guy's Hospital, London SE1 9RT
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Abstract

Twenty-four patients underwent crico-thyroidotomy at Guy's Hospital between 1977 and 1981. Of these, 13 died during admission or shortly after discharge as a result of their primary disease and three were unsuitable for further examination. The eight remaining patients were examined to assess the effect of crico-thyroideotomy on the laryngeal function of voice production. Assessment was made both subjectively and objectively by laryngography. Objective findings were correlated with structural changes seen by indirect laryngoscopy. Six of the eight patients examined had both subjective and objective disturbance of voice production. We report our experience with the surgical procedure of cricothyroidotomy which, in addition to a high incidence of vocal disturbance, includes one case of subglottic stenosis secondary to granulation tissue.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 98 , Issue 10 , October 1984 , pp. 1015 - 1019
Copyright
Copyright © JLO (1984) Limited 1984

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