title: Voice rehabilitation with tragal cartilage and perichondrium after vertical partial laryngectomy for glottic cancer.
abstract: BACKGROUND
  The goal of the study is to test medialization of the neocord after oncological surgery for glottic cancer, using autologous tragal cartilage and perichondrium by the direct approach.
  
  
  METHODS
  Sixteen patients underwent comprehensive assessment including auditory perceptual assessment, videostrobolaryngoscopy, and acoustic voice analysis. The cartilage graft was inserted into a pocket created in the tyroarytenoid - lateral cricoarytenoid muscle complex or the excavated musculomembranous part of the neocord, and fixed by placing the perichondrium by the direct approach. The patients were evaluated preoperatively, and at 14 days, 60 days, and 6 months later.
  
  
  RESULTS
  Improvement of voice and breathiness was correlated with the increase of closed quotient and harmonic-to-noise ratio; the acoustic voice parameters studied showed significant differences between preoperative and postoperative voices, and these objective measurements of voice changes provided accurate and documentary evidence of the results of surgical treatment.
  
  
  CONCLUSIONS
  This method may be considered a safe and efficient phonosurgical procedure for voice restoration.
authors.affiliation: Department of ENT, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Magdalena
authors.initials: M
authors.lastname: Chirilă
authors.affiliation: Department of ENT, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Cristina
authors.initials: C
authors.lastname: Ţiple
authors.affiliation: Department of ENT, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania.
authors.forename: Florina Veronica
authors.initials: FV
authors.lastname: Dinescu
authors.affiliation: Department of Phoniatry, Emergency County Hospital, Cluj-Napoca, Romania.
authors.forename: Rodica
authors.initials: R
authors.lastname: Mureşan
authors.affiliation: Department of Phoniatry, Emergency County Hospital, Cluj-Napoca, Romania.
authors.forename: Sorana D
authors.initials: SD
authors.lastname: Bolboacă
keywords: Cartilage; glottic cancer; medialization; partial laryngectomy; perichodrium; voice restoration