Combined surgical medialization and nerve-muscle pedicle reinnervation for unilateral vocal fold paralysis: improved functional results and prevention of long-term deterioration of voice.
Including those patients that were the subject of our previous report in 1990 (1) a total of 52 patients with unilateral vocal fold paralysis have been managed by combined surgical medialization and nerve-muscle pedicle reinnervation. The technique has been modified only slightly since 1985, when the first such surgery was performed. Short- and long-term voice results determined by a panel of sophisticated listeners are reported, as well as details of patient selection and complications. Better functional results were noted than were observed with surgical medialization alone, and long-term deterioration of the voice improvement initially achieved was prevented with this technique.
Tucker
H M
HM
Case-Western Reserve University School of Medicine, Cleveland, Ohio 44106-5045, USA.
D005260:Female; D006801:Humans; D007821:Laryngeal Muscles / Q000294:innervation* / Q000601:surgery*; D007823:Laryngeal Nerves / Q000601:surgery*; D008297:Male; D019919:Prosthesis Implantation; D012189:Retrospective Studies; D013957:Thyroid Cartilage / Q000601:surgery; D013997:Time Factors; D014826:Vocal Cord Paralysis / Q000150:complications / Q000601:surgery*; D014832:Voice Disorders / Q000209:etiology / Q000517:prevention & control*; D014833:Voice Quality