Article (Scientific journals)
Reconstruction of glottic defects after endoscopic cordectomy: voice outcome.
Remacle, Marc; Lawson, Georges; Morsomme, Dominique et al.
2006In Otolaryngologic Clinics of North America, 39 (1), p. 191-204
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Keywords :
Glottis/pathology/surgery; Humans; Laryngeal Neoplasms/complications/surgery; Laryngoscopy/methods; Reconstructive Surgical Procedures/methods; Treatment Outcome; Vocal Cords/pathology/surgery; Voice Disorders/etiology/surgery; Voice Quality
Abstract :
[en] Medialization thyroplasty for correction of glottic gap, keel placement after laser-assisted section, and topical application of mitomycin-C for anterior glottic synechiae are effective procedures for voice restoration after endoscopic cordectomy. Only a minority of patients (16.4% of the authors’ patients after total or extended cordectomies) request this voice restoration. In this regard, self-evaluation questionnaires (eg, VHI) probably are the most useful tools, along with stroboscopy, for voice assessment. Careful elevation of the fibrous tissue from the inner surface of the thyroid cartilage is a tedious and lengthy step, but is critical in successful medialization after cordectomy; therefore, general anesthesia is preferable. Transoral keel placement is still advisable in cases of thick synechiae. The Lichtenberger technique has been a major advancement to the transoral approach, and is the preferred technique of the authors.
Disciplines :
Theoretical & cognitive psychology
Author, co-author :
Remacle, Marc
Lawson, Georges
Morsomme, Dominique  ;  Université de Liège - ULiège > Département des sciences cognitives > Logopédie des troubles de la voix
Jamart, Jacques
Language :
English
Title :
Reconstruction of glottic defects after endoscopic cordectomy: voice outcome.
Publication date :
2006
Journal title :
Otolaryngologic Clinics of North America
ISSN :
0030-6665
Publisher :
W.B. Saunders, Philadelphia, United States - Pennsylvania
Volume :
39
Issue :
1
Pages :
191-204
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 19 February 2010

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