title: Voice Rehabilitation After Transoral Laser Microsurgery of the Larynx.
abstract: Voice rehabilitation after transoral laser microsurgery to the larynx is challenging. We wait at least 6 months before surgical intervention. Only a few patients after total or extended cordectomy requested voice restoration. Subjective perception of voice using the Voice Handicap Index in medialization thyroplasty was significantly better. Medialization thyroplasty with elevation of the fibrous tissue from the inner surface of the thyroid cartilage is critical in achieving success. We preferred the Montgomery Thyroplasty Implant System. Transoral larynx anterior commissure stent placement after laser-assisted sectioning of anterior synechiae with application of mitomycin C is an effective procedure for anterior synechiae.
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, University Hospital of Louvain at Mont-Godinne, Therasse Avenue 1, Yvoir 5530, Belgium; Ng Teng Fong Hospital, 1 Jurong East Street 21, Singapore; Alexandra Hospital, 378 Alexandra road, Singapore. Electronic address: vyasprasad@gmail.com.
authors.forename: Vyas M N
authors.initials: VM
authors.lastname: Prasad
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery, University Hospital of Louvain at Mont-Godinne, Therasse Avenue 1, Yvoir 5530, Belgium.
authors.forename: Marc
authors.initials: M
authors.lastname: Remacle
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D005931:Glottis / Q000601:surgery*; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery*; D007825:Laryngectomy / Q000379:methods; D058753:Laryngoplasty / Q000379:methods; D053685:Laser Therapy / Q000379:methods; D008866:Microsurgery / Q000379:methods; D013070:Speech Therapy; D014832:Voice Disorders / Q000534:rehabilitation*; D014833:Voice Quality
keywords: Larynx; Transoral laser microsurgery; Voice Handicap Index; Voice rehabilitation