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Objective: To review our experience with vocal fold injection medialization in children.
Design: Retrospective case series.
Setting: Tertiary care academic children's hospital.
Patients: All pediatric patients at our institution who underwent injection laryngoplasty for vocal fold medialization from 2003 to 2009.
Main Outcome Measures: Age, sex, indication for injection, injection material, surgical and anesthetic technique, outcomes including effect on voice and swallowing, and complications.
Results: Thirteen patients underwent 27 injections. Mean patient age was 8.0 years (range, 1.3-18.0 years). The causes of glottic insufficiency included prolonged intubation (6 patients, 46%), patent ductus arteriosus ligation (2 patients, 15%), other cardiac surgery (2 patients, 15%), neck surgery or trauma (2 patients, 15%), and postviral status (1 patient, 8%). Eight patients had vocal fold paralysis or paresis; 3 had vocal fold atrophy; and 2 had vocal fold scarring. Indications for surgery included hoarseness (11 patients), aspiration (5 patients), and dysphagia without aspiration (1 patient). Materials injected included Gelfoam (n = 13), Radiesse Voice (n = 10), and Radiesse Voice Gel (n = 4). The average number of injections per patient was 2.1 (range, 1-9). Patients experienced improvement in symptoms (subjective or objective) after injection in 24 of 27 cases (89%); 15 of 16 injections in patients with hoarseness led to improvement (94%); and 11 of 13 injections in patients with dysphagia or aspiration led to improvement (85%). One patient experienced 2 days of inspiratory stridor postoperatively, which resolved spontaneously. There were no other complications.
Conclusions: This study supports injection laryngoplasty as a safe and effective intervention for children with glottic insufficiency. Further prospective studies are necessary to confirm these findings.
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http://dx.doi.org/10.1001/archoto.2011.24 | DOI Listing |
J Voice
March 2025
Department of Otolaryngology, New York University Grossman School of Medicine, New York, NY. Electronic address:
Objectives/hypothesis: This study investigated the effects of the "crack-sob" onset-a distinctive vocal technique combining a sob gesture with an intentional pitch break-on vocal fold function during high-intensity singing. We hypothesized that this onset would either decrease glottal adduction and increase vocal fold vibration stability or alternatively, show no measurable effects while still providing perceived benefits to singers.
Study Design: Prospective observational cohort study.
J Clin Monit Comput
March 2025
Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-higashi 2-1-1-1, Asahikawa, 078-8510, Hokkaido, Japan.
The aim of this study was to compare the supramaximal currents obtained simultaneously by acceleromyography (AMG) TOF-Watch SX and electromyography (EMG) AF-201P in pediatric patients. Patients aged 2-11 years who underwent elective surgery under general anesthesia were enrolled. AMG and EMG monitors were placed on opposite arms of the patient to stimulate the ulnar nerve and monitor the adductor pollicis muscles following the induction of general anesthesia.
View Article and Find Full Text PDFWorld J Surg
March 2025
Department of Surgery, Division of Endocrine Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Introduction: The outcomes of completion thyroidectomy are not well-documented. The study aim is to compare the risks of total thyroidectomy (TT), thyroid lobectomy (TL), and completion thyroidectomy (CT) using a large multi-institutional database.
Methods: All cases of thyroidectomy without lymphadenectomy were identified using the CESQIP national database (2013-2023).
J Am Vet Med Assoc
March 2025
6Department of Molecular Biomedical Sciences, College of Veterinary Medicine, North Carolina State University, Raleigh, NC.
Objective: To clinically and histopathologically characterize the laryngeal mass commonly referred to as vocal fold granuloma in brachycephalic dogs and to evaluate treatment responses and follow-up outcomes.
Animals: 13 brachycephalic dogs were included (8 French Bulldogs, 2 Bulldogs, 1 Pug, 1 Boston Terrier, and 1 Cavalier King Charles Spaniel).
Clinical Presentation: Brachycephalic dogs diagnosed with a vocal fold mass during endoscopic laryngeal examination were retrospectively included.
Ear Nose Throat J
March 2025
Department of Otolaryngology-Head and Neck Surgery, Drexel University College of Medicine, Philadelphia, PA, USA.
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