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- Title
Patient-Related Factors of Medialization Laryngoplasty with Autologous Thyroid Cartilage.
- Authors
Tsai, Yao-Te; Tsai, Ming-Shao; Chang, Geng-He; Lee, Li-Ang; Yang, Ming-Yu; Yang, Yao-Hsu; Wu, Chin-Yuan; Hsu, Cheng-Ming
- Abstract
(1) Background: Medialization laryngoplasty with autologous thyroid cartilage (MLATC) is a surgical treatment for glottal closure insufficiency (GCI) resulted from unilateral vocal fold paralysis/paresis (UVFP) and vocal fold atrophy. We aimed to survey the influence of patient-related factors on the outcomes after MLATC. (2) Methods: The study enrolled 35 patients with GCI who underwent MLATC. Patient voice data were recorded before and after MLATC by using multiple acoustic parameters and subjective assessment in a computerized speech laboratory. GCI patients were characterized into subgroups based on three factors: age, ≥60 vs. <60 years; sex, men vs. women; and BMI, ≥24 vs. <24. (3) Results: When the subgroups were compared, men did not have better results after surgery than women. Patients ages < 60 years did not exhibit any significantly different outcome compared with those aged ≥ 60 years. Patients with BMI ≥ 24 did not have any significantly different outcome compared with those with BMI < 24. The subgroups of age, sex, and BMI had no significant difference in cumulative voice recovery and summation of GRBAS (G = grade, R = roughness, B = breathiness, A = asthenia, and S = strain). (4) Conclusions: MLATC is a good alternative surgery with long-term improvement in GCI patients. There is no evidence that age, sex, or BMI affect the functional outcome.
- Subjects
TRACHEAL cartilage; LARYNGOPLASTY; VOCAL cords; SPEECH synthesis
- Publication
Healthcare (2227-9032), 2020, Vol 8, Issue 4, p521
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare8040521