Long-term outcomes of bilateral medialisation thyroplasty in patients with vocal fold atrophy with or without sulcus (2024)

Abstract

Objective Evaluate long-term voice outcome after bilateral medialisation thyroplasty in glottic insufficiency due to vocal fold atrophy with or without sulcus. Methods Patients after medialisation thyroplasty for vocal fold atrophy with or without sulcus were identified. Long-term post-operative subjective voice outcomes (> 1 year) using Voice Handicap Index-30, subjective ratings on voice aspects and study-specific questionnaire were compared to pre-operative and shorter-term (1 year) values. Results Thirty-six patients were identified, of which 26 were included (16 atrophy, 10 sulcus) with median follow up of 6.7 years. Mean Voice Handicap Index score at > 1 year (40.0) showed clinically relevant (≥ 15 for groups) and statistically significant improvement compared to pre-operative score (58.1) and remained stable compared to post-operative score (35.7) at one year. Ten patients (56 per cent) reported clinically relevant improvement (≥ 10) after more than five years. Conclusion Long-term improvement in subjective voice outcomes is attainable in a significant proportion of patients undergoing bilateral medialisation thyroplasty for atrophy with or without sulcus.

Original languageEnglish
Pages (from-to)570-575
Number of pages6
JournalJournal of Laryngology and Otology
Volume138
Issue number5
DOIs
Publication statusPublished - 2 May 2024

Keywords

  • bilateral medialization thyroplasty
  • Glottic insufficiency
  • laryngoplasty
  • sulcus
  • type 1 thyroplasty
  • vocal fold atrophy

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  • long-term-outcomes-of-bilateral-medialisation-thyroplasty-in-patients-with-vocal-fold-atrophy-with-or-without-sulcusFinal published version, 104 KBLicence: CC BY-NC-ND

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    Van Den Broek, E. M. J. M., Heijnen, B. J., Van Der Valk, J. C., Hendriksma, M., Langeveld, A. P. M., Van Benthem, P. P. G., & Sjögren, E. V. (2024). Long-term outcomes of bilateral medialisation thyroplasty in patients with vocal fold atrophy with or without sulcus. Journal of Laryngology and Otology, 138(5), 570-575. https://doi.org/10.1017/S0022215123001640

    Van Den Broek, Emke M.J.M. ; Heijnen, Bas J. ; Van Der Valk, Jens C. et al. / Long-term outcomes of bilateral medialisation thyroplasty in patients with vocal fold atrophy with or without sulcus. In: Journal of Laryngology and Otology. 2024 ; Vol. 138, No. 5. pp. 570-575.

    @article{1110e84e353b41c886026c5b52f2f0c5,

    title = "Long-term outcomes of bilateral medialisation thyroplasty in patients with vocal fold atrophy with or without sulcus",

    abstract = "Objective Evaluate long-term voice outcome after bilateral medialisation thyroplasty in glottic insufficiency due to vocal fold atrophy with or without sulcus. Methods Patients after medialisation thyroplasty for vocal fold atrophy with or without sulcus were identified. Long-term post-operative subjective voice outcomes (> 1 year) using Voice Handicap Index-30, subjective ratings on voice aspects and study-specific questionnaire were compared to pre-operative and shorter-term (1 year) values. Results Thirty-six patients were identified, of which 26 were included (16 atrophy, 10 sulcus) with median follow up of 6.7 years. Mean Voice Handicap Index score at > 1 year (40.0) showed clinically relevant (≥ 15 for groups) and statistically significant improvement compared to pre-operative score (58.1) and remained stable compared to post-operative score (35.7) at one year. Ten patients (56 per cent) reported clinically relevant improvement (≥ 10) after more than five years. Conclusion Long-term improvement in subjective voice outcomes is attainable in a significant proportion of patients undergoing bilateral medialisation thyroplasty for atrophy with or without sulcus.",

    keywords = "bilateral medialization thyroplasty, Glottic insufficiency, laryngoplasty, sulcus, type 1 thyroplasty, vocal fold atrophy",

    author = "{Van Den Broek}, {Emke M.J.M.} and Heijnen, {Bas J.} and {Van Der Valk}, {Jens C.} and Martine Hendriksma and Langeveld, {Antonius P.M.} and {Van Benthem}, {Peter Paul G.} and Sj{\"o}gren, {Elisabeth V.}",

    note = "Publisher Copyright: Copyright {\textcopyright} The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.",

    year = "2024",

    month = may,

    day = "2",

    doi = "10.1017/S0022215123001640",

    language = "English",

    volume = "138",

    pages = "570--575",

    journal = "Journal of Laryngology and Otology",

    issn = "0022-2151",

    publisher = "Cambridge University Press",

    number = "5",

    }

    Van Den Broek, EMJM, Heijnen, BJ, Van Der Valk, JC, Hendriksma, M, Langeveld, APM, Van Benthem, PPG & Sjögren, EV 2024, 'Long-term outcomes of bilateral medialisation thyroplasty in patients with vocal fold atrophy with or without sulcus', Journal of Laryngology and Otology, vol. 138, no. 5, pp. 570-575. https://doi.org/10.1017/S0022215123001640

    Long-term outcomes of bilateral medialisation thyroplasty in patients with vocal fold atrophy with or without sulcus. / Van Den Broek, Emke M.J.M.; Heijnen, Bas J.; Van Der Valk, Jens C. et al.
    In: Journal of Laryngology and Otology, Vol. 138, No. 5, 02.05.2024, p. 570-575.

    Research output: Contribution to journalArticleAcademicpeer-review

    TY - JOUR

    T1 - Long-term outcomes of bilateral medialisation thyroplasty in patients with vocal fold atrophy with or without sulcus

    AU - Van Den Broek, Emke M.J.M.

    AU - Heijnen, Bas J.

    AU - Van Der Valk, Jens C.

    AU - Hendriksma, Martine

    AU - Langeveld, Antonius P.M.

    AU - Van Benthem, Peter Paul G.

    AU - Sjögren, Elisabeth V.

    N1 - Publisher Copyright:Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

    PY - 2024/5/2

    Y1 - 2024/5/2

    N2 - Objective Evaluate long-term voice outcome after bilateral medialisation thyroplasty in glottic insufficiency due to vocal fold atrophy with or without sulcus. Methods Patients after medialisation thyroplasty for vocal fold atrophy with or without sulcus were identified. Long-term post-operative subjective voice outcomes (> 1 year) using Voice Handicap Index-30, subjective ratings on voice aspects and study-specific questionnaire were compared to pre-operative and shorter-term (1 year) values. Results Thirty-six patients were identified, of which 26 were included (16 atrophy, 10 sulcus) with median follow up of 6.7 years. Mean Voice Handicap Index score at > 1 year (40.0) showed clinically relevant (≥ 15 for groups) and statistically significant improvement compared to pre-operative score (58.1) and remained stable compared to post-operative score (35.7) at one year. Ten patients (56 per cent) reported clinically relevant improvement (≥ 10) after more than five years. Conclusion Long-term improvement in subjective voice outcomes is attainable in a significant proportion of patients undergoing bilateral medialisation thyroplasty for atrophy with or without sulcus.

    AB - Objective Evaluate long-term voice outcome after bilateral medialisation thyroplasty in glottic insufficiency due to vocal fold atrophy with or without sulcus. Methods Patients after medialisation thyroplasty for vocal fold atrophy with or without sulcus were identified. Long-term post-operative subjective voice outcomes (> 1 year) using Voice Handicap Index-30, subjective ratings on voice aspects and study-specific questionnaire were compared to pre-operative and shorter-term (1 year) values. Results Thirty-six patients were identified, of which 26 were included (16 atrophy, 10 sulcus) with median follow up of 6.7 years. Mean Voice Handicap Index score at > 1 year (40.0) showed clinically relevant (≥ 15 for groups) and statistically significant improvement compared to pre-operative score (58.1) and remained stable compared to post-operative score (35.7) at one year. Ten patients (56 per cent) reported clinically relevant improvement (≥ 10) after more than five years. Conclusion Long-term improvement in subjective voice outcomes is attainable in a significant proportion of patients undergoing bilateral medialisation thyroplasty for atrophy with or without sulcus.

    KW - bilateral medialization thyroplasty

    KW - Glottic insufficiency

    KW - laryngoplasty

    KW - sulcus

    KW - type 1 thyroplasty

    KW - vocal fold atrophy

    UR - http://www.scopus.com/inward/record.url?scp=85192028730&partnerID=8YFLogxK

    U2 - 10.1017/S0022215123001640

    DO - 10.1017/S0022215123001640

    M3 - Article

    C2 - 37781766

    AN - SCOPUS:85192028730

    SN - 0022-2151

    VL - 138

    SP - 570

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    JO - Journal of Laryngology and Otology

    JF - Journal of Laryngology and Otology

    IS - 5

    ER -

    Van Den Broek EMJM, Heijnen BJ, Van Der Valk JC, Hendriksma M, Langeveld APM, Van Benthem PPG et al. Long-term outcomes of bilateral medialisation thyroplasty in patients with vocal fold atrophy with or without sulcus. Journal of Laryngology and Otology. 2024 May 2;138(5):570-575. doi: 10.1017/S0022215123001640

    Long-term outcomes of bilateral medialisation thyroplasty in patients with vocal fold atrophy with or without sulcus (2024)
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