Type I thyroplasty for acute unilateral vocal fold paralysis following intrathoracic surgery Journal Article
| Authors: | Abraham, M. T.; Bains, M. S.; Downey, R. J.; Korst, R. J.; Kraus, D. H. |
| Article Title: | Type I thyroplasty for acute unilateral vocal fold paralysis following intrathoracic surgery |
| Abstract: | Patients who undergo intrathoracic operative procedures for malignancy may require sacrifice of a recurrent laryngeal nerve. Postoperative vocal fold paralysis may lead to diminished cough with secretion retention, aspiration, and life-endangering pneumonia. This study retrospectively reviews our institution's experience of 23 patients who underwent type I thyroplasty within the 2-week (acute) period after thoracic surgery. Primary lung cancer (n = 16) was the most common disease. Upper lobectomy (n = 9) and pneumonectomy (n = 7) were the most frequent surgical procedures. Silicone medialization alone (n = 11) or with arytenoid adduction (n = 12) was performed. There were no significant postoperative complications. Improvements in hoarseness (86%), dyspnea (72%), dysphagia (50%), and aspiration (79%) were noted. Pulmonary status improved after vocal fold medialization, as reflected by decreased need for therapeutic bronchoscopy in the majority of patients in the postoperative period. Type I thyroplasty for vocal fold paralysis in the acute phase following thoracic surgery is well tolerated and is associated with improved patient outcome with no postoperative deaths in this high-risk patient population. |
| Keywords: | adult; clinical article; controlled study; aged; middle aged; retrospective studies; lung lobectomy; lung resection; thoracotomy; lung cancer; retrospective study; coughing; dyspnea; pneumonia; postoperative complications; dysphagia; esophagus resection; thymoma; esophagus cancer; mediastinum tumor; thyroplasty; unilateral vocal fold paralysis; vocal cord paralysis; recurrent laryngeal nerve; thyroid surgery; hoarseness; larynx cartilage; humans; human; male; female; priority journal; article; acute early type i thyroplasty; arytenoid adduction; intrathoracic surgery; laryngeal framework surgery; vocal fold medialization; arytenoid cartilage; thyroid cartilage |
| Journal Title: | Annals of Otology Rhinology and Laryngology |
| Volume: | 111 |
| Issue: | 8 |
| ISSN: | 0003-4894 |
| Publisher: | Annals Publ Co |
| Date Published: | 2002-08-01 |
| Start Page: | 667 |
| End Page: | 671 |
| Language: | English |
| PUBMED: | 12184585 |
| PROVIDER: | scopus |
| DOI: | 10.1177/000348940211100802 |
| DOI/URL: | |
| Notes: | Export Date: 14 November 2014 -- Source: Scopus |
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