Reference : Reconstruction of glottic defects after endoscopic cordectomy: voice outcome.
Scientific journals : Article
Social & behavioral sciences, psychology : Theoretical & cognitive psychology
Reconstruction of glottic defects after endoscopic cordectomy: voice outcome.
Remacle, Marc [> > > >]
Lawson, Georges [> > > >]
Morsomme, Dominique mailto [Université de Liège - ULiège > Département des sciences cognitives > Logopédie des troubles de la voix >]
Jamart, Jacques [> > > >]
Otolaryngologic Clinics of North America
W.B. Saunders
Yes (verified by ORBi)
[en] Glottis/pathology/surgery ; Humans ; Laryngeal Neoplasms/complications/surgery ; Laryngoscopy/methods ; Reconstructive Surgical Procedures/methods ; Treatment Outcome ; Vocal Cords/pathology/surgery ; Voice Disorders/etiology/surgery ; Voice Quality
[en] Medialization thyroplasty for correction of glottic gap, keel placement after laser-assisted section, and topical application of mitomycin-C for anterior glottic synechiae are effective procedures for voice restoration after endoscopic cordectomy. Only a minority of patients (16.4% of the authors’
patients after total or extended cordectomies) request this voice restoration. In this regard, self-evaluation questionnaires (eg, VHI) probably are the most useful tools, along with stroboscopy, for voice assessment. Careful elevation of the fibrous tissue from the inner surface of the thyroid cartilage is a tedious and lengthy step, but is critical in successful medialization
after cordectomy; therefore, general anesthesia is preferable. Transoral keel placement is still advisable in cases of thick synechiae. The Lichtenberger technique has been a major advancement to the transoral approach, and is the preferred technique of the authors.
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