Medialization thyroplasty for cancer-related unilateral vocal fold paralysis.

Otolaryngol Head Neck Surg

Division of Otorhinolaryngology, Head & Neck Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong.

Published: March 2007

Objective: To justify the application of medialization thyroplasty in Chinese patients with symptomatic cancer-related unilateral vocal fold paralysis (UVFP).

Study Design And Setting: Retrospective chart review from February 2000 to March 2006.

Results: Eighty-seven Chinese patients undergoing medialization thyroplasty for UVFP were included; there were no significant differences between the cancer-related and benign groups in terms of the speech and swallowing rehabilitation outcome and the perioperative complication rate (P > 0.05). The median survival time of cancer-related UVFP patients from the date of medialization to death was 129 days. Age more than 65 years was identified as the only factor for a shorter survival period after medialization (P = 0.040).

Conclusion: Medialization thyroplasty restores satisfactory speech and swallowing and has a low perioperative complication rate in Chinese patients with cancer-related UVFP. Postmedialization survival period was also reasonable.

Significance: Medialization thyroplasty is a justifiable treatment option for cancer-related UVFP.

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http://dx.doi.org/10.1016/j.otohns.2006.11.009DOI Listing

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