AI Article Synopsis
- This study evaluates the effectiveness of two types of implants used in medialization thyroplasty for unilateral vocal fold paralysis: VoCoM (hydroxyapatite) and TVFMI (titanium).
- The research involved 26 patients, with results showing that the titanium implant group had better glottal closure and improved voice quality compared to the hydroxyapatite group.
- Overall, the titanium implant provided superior functional outcomes, leading to enhanced phonation time and reduced hoarseness.
Article Abstract
Background: Results of medialization thyroplasty for treatment of unilateral vocal fold paralysis are often unsatisfactory. This study compares glottal closure and voice quality after use of 2 different medialization implant types: VoCoM and TVFMI.
Methods: In all, 26 patients with unilateral vocal fold paralysis following thoracic surgery underwent medialization thyroplasty. In 11 patients (group I), a hydroxyapatite implant (VoCoM) was used. In 15 patients (group II), a titanium implant (TVFMI) was used. Preoperative and postoperative glottal closure and voice function were assessed with videostroboscopy, perceptual and objective voice measures, and the Voice Dysfunction Index (VDI).
Results: Group II showed a higher rate of complete glottal closure and greater improvement in perceived hoarseness, maximal phonation time, and maximal voice intensity than those in group I.
Conclusions: With the individually adjustable titanium implant, better glottal closure and better functional outcome (phonation time and voice quality) were achieved.
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| http://dx.doi.org/10.1002/hed.21370 | DOI Listing |
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