Sulcus mucosal slicing technique.
OBJECTIVE
To present the accurate surgical indication for the slicing mucosal technique, the case selection, surgical aspects, rehabilitation concerns, and the characteristics of immediate and long-term outcomes.


RESULTS
The literature is still scarce; few cases are submitted to the slicing mucosa technique due to its specific indication; an alternative procedure was designed for cases where mucosal movement is strongly reduced, the inner section of the vocal ligament or submucosal scar tissue, which can eventually be associated with fat inclusion. Some selected cases may require thyroplasty type III to optimize functional results.


CONCLUSIONS
Slicing technique is an aggressive powerful resource for the surgical treatment of severe cases of sulcus striae major, in which mucosal wave is absent and glottic chink is moderate to severe; voice is intensely deviated immediately postoperation; vocal rehabilitation is mandatory and an intensive regimen is usually required for the first 2 months; final results can mostly be achieved up to 6 months.
Department of Otorhinolaryngology-Head and Neck Surgery, Federal University of São Paulo, São Paulo, Brazil. ppontes@inlar.com.br
Paulo
P
Pontes
Mara
M
Behlau
D002921:Cicatrix / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007820:Laryngeal Mucosa / Q000473:pathology / Q000601:surgery*; D058753:Laryngoplasty / Q000379:methods*; D007828:Laryngoscopy / Q000379:methods; D008297:Male; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014827:Vocal Cords / Q000473:pathology / Q000601:surgery*; D014833:Voice Quality