title: Glottal configuration, acoustic, and aerodynamic changes induced by variation in suture direction in arytenoid adduction procedures.
abstract: Arytenoid adduction is a phonosurgical procedure in which the arytenoid cartilages are approximated to reduce posterior glottal gap size and improve voice. Voice outcomes following arytenoid adduction are not always optimal. The goal of this study was to systematically vary suture direction and force of pull on the arytenoid cartilages in a human excised laryngeal model to determine the optimal combination of factors for reducing glottal gap and improving voice. Several factors demonstrated significant effects. Changes in suture direction and force of pull affected glottal configuration in both the horizontal and vertical planes. Increased force of pull on the muscular process resulted in increased adduction of the vocal process for all suture directions. Changes in suture direction and force of pull also affected acoustic and aerodynamic measures of induced voice. Therefore, voice outcomes can be optimized with arytenoid adduction if the vocal fold plane is accurately adjusted.
authors.affiliation: Department of Otolaryngology-Head and Neck Surgery, Kitasato Institute Medical Center Hospital, Saitama, Japan.
authors.forename: Katsuhide
authors.initials: K
authors.lastname: Inagi
authors.forename: Nadine P
authors.initials: NP
authors.lastname: Connor
authors.forename: Tatsutoshi
authors.initials: T
authors.lastname: Suzuki
authors.forename: Charles N
authors.initials: CN
authors.lastname: Ford
authors.forename: Diane M
authors.initials: DM
authors.lastname: Bless
authors.forename: Masami
authors.initials: M
authors.lastname: Nakajima
mesh_terms: D000162:Acoustics; D000328:Adult; D000368:Aged; D001193:Arytenoid Cartilage; D002102:Cadaver; D005260:Female; D005931:Glottis; D006801:Humans; D007821:Laryngeal Muscles / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010699:Phonation; D013537:Sutures; D014826:Vocal Cord Paralysis / Q000601:surgery*; D014831:Voice