Injection Laryngoplasty for The Treatment of Vocal Fold Scar, and Sulcus.
- Author:
Joo Hyun WOO
1
;
Min Kwan BAEK
;
Dong Young KIM
;
Hyoung Min PARK
;
Sanghee AN
;
Kwang Ha MOON
;
Heung Eog CHA
Author Information
1. Department of Otolaryngology-Head & Neck Surgery, Gachon University School of Medicine, Gil Medical Center, Incheon, Korea. c1453@gilhospital.com
- Publication Type:Original Article
- Keywords:
Sulcus vocalis;
Vocal atrophy;
Scar;
Injection laryngoplasty
- MeSH:
Anesthesia, Local;
Atrophy;
Cicatrix*;
Diagnosis;
Glottis;
Humans;
Laryngoplasty*;
Membranes;
Noise;
Phonation;
Retrospective Studies;
Vocal Cords*;
Voice
- From:Journal of the Korean Society of Laryngology Phoniatrics and Logopedics
2016;27(1):25-29
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: The clinical reports for the treatment of vocal fold scar and sulcus vocalis are limited, also there is no best one for the treatment of them. This study is to evaluate the effect of Injection laryngoplasty (IL) for the treatment of vocal fold scar and sulcus vocalis. MATERIALS AND METHODS: from January 2013 to May 2015, the Nineteen patients who were diagnosed as vocal fold scar, sulcus and atrophy, and underwent IL, were engaged in this study. Clinical information and voice parameters were analyzed by retrospective chart review. Pre and post voice parameters were compared. RESULTS: Subgroups of diagnosis were classified into sulcus vocalis for 12 patients, vocal fold scar for 5, and atrophy for 2. IL was performed under local anesthesia through cricothyroid membrane except one patient. Atesense®, Radiessess®, and Rofilan® were used as injected materials in 9, 9, and 1 patients respectively. Maximal phonation time (p=0.0124), dynamic range (p=0.0028), pitch range (p=0.0141), voice handicap index (p=0.028), glottal closure (p=0.0229), and mucosal wave (p=0.0132) had significant improvement for post-IL voice assessment than Pre-IL. While GRBAS, Mean flow rate, Jitter, Shimmer, Harmony to Noise ratio didn't have improvement. CONCLUSION: IL is a feasible option for the treatment of glottis incompetence with normally mobile vocal folds such as sulcus vocalis and vocal fold scar.
