The Use of the Mobile Voice Laboratory in the Operating Room During Type I Thyroplasty With Gore-Tex®

Presbylarynx refers to age-related structural changes of the vocal folds that include muscle atrophy, reduced neuromuscular control, loss of superficial lamina propria layer, and reduced pliability. The changes result in thin and bowed vocal folds, increased vocal effort requirements, breathy voice, change in habitual pitch, and strain. The primary treatment options are voice therapy focused on strengthening breath support and the intrinsic muscles of the larynx, and optimization of resonance; injection augmentation of the vocal folds; and type I thyroplasty. Functional dysphonia is defined as change in voice quality in the absence of structural or neurological abnormalities of the larynx. Muscle tension dysphonia (MTD) is a subtype of functional voice disorders and involves laryngeal muscle tension imbalance due to excessive or dysregulated activation resulting often in strained or breathy voice. MTD can be divided into primary (psychological etiology or vocal misuse) and secondary (compensatory for organic laryngeal pathology). The mainstay of treatment for MTD is voice therapy, along with medical or surgical treatment of the underlying vocal pathology in secondary MTD. Mutational falsetto, or puberphonia, is a functional voice disorder where a high-pitched, pre-adolescent voice fails to transition to the lower pitch of adulthood. This review contains 5 figures, 7 tables, 4 videos and 10 references Key Words: Presbylarynx, Injection augmentation, Type I thyroplasty, Primary muscle tension dysphonia, Secondary muscle tension dysphonia, Muscle tension patterns, Manual circumlaryngeal therapy, Functional dysphonia, Mutational falsetto

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Type I thyroplasty for unilateral vocal fold palsy: Silastic or titanium implant?

Journal of Laryngology and Voice ◽

10.4103/jlv.jlv_10_17 ◽

2018 ◽

Vol 8 (2) ◽

pp. 29

Author(s):

Ashwani Sethi ◽

NidhiVohra Maggon ◽

AwadheshKumar Mishra ◽

Ajay Mallick

Keyword(s):

Vocal Fold ◽

Titanium Implant ◽

Type I ◽

Vocal Fold Palsy ◽

Type I Thyroplasty

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Management of Pediatric Type I Open Fractures in the Emergency Department or Operating Room

Journal of Pediatric Orthopaedics ◽

10.1097/bpo.0000000000000972 ◽

2019 ◽

Vol 39 (7) ◽

pp. 372-376 ◽

Cited By ~ 7

Author(s):

Jenna Godfrey ◽

Paul D. Choi ◽

Lior Shabtai ◽

Sarah B. Nossov ◽

Amy Williams ◽

...

Keyword(s):

Emergency Department ◽

Operating Room ◽

Open Fractures ◽

Type I

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Relevance of early head CT scans following neurosurgical procedures: an analysis of 892 intracranial procedures at Rush University Medical Center

Journal of Neurosurgery ◽

10.3171/2014.4.jns132429 ◽

2014 ◽

Vol 121 (2) ◽

pp. 307-312 ◽

Cited By ~ 12

Author(s):

Ricardo B. V. Fontes ◽

Adam P. Smith ◽

Lorenzo F. Muñoz ◽

Richard W. Byrne ◽

Vincent C. Traynelis

Keyword(s):

Operating Room ◽

Neurological Examination ◽

Medical Center ◽

Ct Scanning ◽

Ct Scans ◽

Type I ◽

Type Ii ◽

Head Ct ◽

Ct Findings ◽

Neurological Change

Object Early postoperative head CT scanning is routinely performed following intracranial procedures for detection of complications, but its real value remains uncertain: so-called abnormal results are frequently found, but active, emergency intervention based on these findings may be rare. The authors' objective was to analyze whether early postoperative CT scans led to emergency surgical interventions and if the results of neurological examination predicted this occurrence. Methods The authors retrospectively analyzed 892 intracranial procedures followed by an early postoperative CT scan performed over a 1-year period at Rush University Medical Center and classified these cases according to postoperative neurological status: baseline, predicted neurological change, unexpected neurological change, and sedated or comatose. The interpretation of CT results was reviewed and unexpected CT findings were classified based on immediate action taken: Type I, additional observation and CT; Type II, active nonsurgical intervention; and Type III, surgical intervention. Results were compared between neurological examination groups with the Fisher exact test. Results Patients with unexpected neurological changes or in the sedated or comatose group had significantly more unexpected findings on the postoperative CT (p < 0.001; OR 19.2 and 2.3, respectively) and Type II/III interventions (p < 0.001) than patients at baseline. Patients at baseline or with expected neurological changes still had a rate of Type II/III changes in the 2.2%–2.4% range; however, no patient required an immediate return to the operating room. Conclusions Over a 1-year period in an academic neurosurgery service, no patient who was neurologically intact or who had a predicted neurological change required an immediate return to the operating room based on early postoperative CT findings. Obtaining early CT scans should not be a priority in these patients and may even be cancelled in favor of MRI studies, if the latter have already been planned and can be performed safely and in a timely manner. Early postoperative CT scanning does not assure an uneventful course, nor should it replace accurate and frequent neurological checks, because operative interventions were always decided in conjunction with the neurological examination.

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Sex‐based outcomes in type I thyroplasty for nonparalytic glottic incompetence

The Laryngoscope ◽

10.1002/lary.27770 ◽

2019 ◽

Vol 129 (11) ◽

pp. 2543-2548 ◽

Cited By ~ 4

Author(s):

Zainab Farzal ◽

Lewis J. Overton ◽

Douglas R. Farquhar ◽

Elizabeth D. Stephenson ◽

Rupali N. Shah ◽

...

Keyword(s):

Type I ◽

Type I Thyroplasty

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Cervical plexus block as an alternative anesthetic approach for type I thyroplasty: a case report

Brazilian Journal of Anesthesiology (English Edition) ◽

10.1016/j.bjane.2020.07.007 ◽

2020 ◽

Vol 70 (5) ◽

pp. 556-560

Author(s):

Antoine Abi Lutfallah ◽

Khalil Jabbour ◽

Afrida Gergess ◽

Gemma Hayeck ◽

Nayla Matar ◽

...

Keyword(s):

Case Report ◽

Type I ◽

Cervical Plexus ◽

Cervical Plexus Block ◽

Plexus Block ◽

Type I Thyroplasty

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Thyroplasty for functional rehabilitation of the incompetent larynx

The Journal of Laryngology & Otology ◽

10.1017/s0022215100142756 ◽

1998 ◽

Vol 112 (12) ◽

pp. 1172-1175 ◽

Cited By ~ 6

Author(s):

M. F. Abdel-Aziz ◽

N. A. Gad El-Hak ◽

P. N. Carding

Keyword(s):

Physical Performance ◽

Vocal Fold ◽

Abdominal Pressure ◽

Vocal Performance ◽

Type I ◽

Wound Sepsis ◽

Functional Rehabilitation ◽

Valsalva's Manoeuvre ◽

Objective Improvement ◽

Type I Thyroplasty

AbstractType I thyroplasty was performed in 12 patients with unilateral paralysis of the vocal fold. Subjective as well as objective improvement in vocal performance was reported in 11 patients. Aspiration was improved in six out of eight patients. Effort closure was evaluated by the ability of the patient to voluntarily raise his intra-abdominal pressure during Valsalva's manoeuvre. A comparison of pre- and post-thyroplasty measures, showed a statistically significant improvement in the efficacy of effort glottic closure (p < 0.05), indicating a better physical performance. We had one case of wound sepsis and another case of implant extrusion.

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