Medialization of paralyzed vocal fold does not increase respiratory resistance measured by impulse oscillometry.
Injection laryngoplasty restores voice in subjects with unilateral vocal fold paralysis, but knowledge of its effects on airflow dynamics is limited. Impulse oscillometry (IOS) is a non-invasive technique to investigate airway resistance. It is easily performed during normal breathing. A prospective study was conducted in order to investigate the effects of autologous fascia injection on airflow dynamics. IOS, flow-volume spirometry, acoustic analysis of voice, voice handicap index (VHI) questionnaire and subjective dyspnoea score were recorded before and 5-11 months after the operation. There was no significant change in respiratory resistance (Rres) or other variables of IOS. FEV1/FVC decreased from 0.80 to 0.77 (P = 0.02), but other variables of spirometry did not change significantly. Acoustic properties of voice (noise-to-harmonics ratio, shimmer, jitter, maximal phonation time) and VHI improved significantly. No change in dyspnoea occurred. In conclusion, medializing of a paralysed vocal fold improves voice, but does not have a clinically significant adverse effect on breathing. Flow-volume spirometry is more sensitive than IOS to changes in airflow dynamics after medialization.
Saarinen
Antti
A
Department of Respiratory Medicine, Central Finland Health Care District, Kinkomaa Hospital, 40930, Kinkomaa, Finland. antti.saarinen@ksshp.fi
Sovijärvi
Anssi R A
AR
Karhumäki
Lauri
L
Rihkanen
Heikki
H
D000403:Airway Resistance; D004185:Disability Evaluation; D004867:Equipment Design; D005205:Fascia / Q000166:cytology / Q000637:transplantation; D005260:Female; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D009991:Oscillometry / Q000295:instrumentation*; D012119:Respiration; D013061:Speech Acoustics; D013147:Spirometry; D011795:Surveys and Questionnaires; D014826:Vocal Cord Paralysis / Q000175:diagnosis*; D014833:Voice Quality