Otolaryngol Clin North Am. Aug;33(4) Arytenoid adduction and medialization laryngoplasty. Woo P(1). Author information: (1)Department of. Head Neck. Jan;21(1) Arytenoid adduction as an adjunct to type I thyroplasty for unilateral vocal cord paralysis. Kraus DH(1), Orlikoff RF, Rizk SS. Laryngoscope. Dec;(12) Combined arytenoid adduction and laryngeal reinnervation in the treatment of vocal fold paralysis. Chhetri DK(1).

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Options for surgical treatment of vocal cord paralysis include vocal cord injection, medialization thyroplasty, and arytenoid adduction.

Arytenoid adduction

In all tested parameters the extent of improvement was similar in both groups. Our website uses cookies to enhance your experience. This allows the two vocal cords to meet and can improve speaking and swallowing ability for affected patients.

Phonation requires the vocal cords to be adducted positioned towards the midline so that they can meet and vibrate together as air is expelled between them. Register for email alerts with links to free full-text articles Access PDFs of free articles Manage your interests Save searches and receive search alerts. Many cases of vocal cord paralysis result from trauma during surgery.

Aerodynamic parameters of laryngeal airflow and subglottic pressure were measured.

Closure and mucosal wave improved significantly in both groups. Create a free personal account to make a comment, download free article PDFs, sign up for alerts and more. Surgical management of unilateral vocal cord paralysis has evolved over the last three decades. Please introduce links to this page from related articles ; try the Find link tool for suggestions.


Combined arytenoid adduction and laryngeal reinnervation in the treatment of vocal fold paralysis.

From Wikipedia, the free encyclopedia. Retrieved from ” advuction Subglottic pressure remained unchanged in both groups. One of the key functions of the larynx is phonationthe production of sound. Sign in to customize your interests Sign in to your personal account. Subjective analysis confirms marked improvement in laryngeal function in the form of speech, swallowing, and respiration.

This results in a vertical gap between the two vocal cords that cannot be resolved using vocal cord injection or medialization thryoplasty. This page was last edited on 16 Novemberat It is especially indicated for the case of a wide, glottal chink and a difference in the level of the two cords.

Arytenoid arytenoir is a surgical procedure used to treat vocal cord paralysis.

By using this site, you agree to the Terms of Use and Privacy Policy. This article is an orphanas no other articles link to it. Patients undergoing arytenoid adduction with or without silastic medialization for unilateral vocal cord paralysis were entered into a prospective data base. Damage to these nerves results in vocal cord paralysis – the reduced mobility and inability to adduct one or both vocal cords. An Evolving Clinical Concept”.

Videostroboscopic measures of glottal closure, mucosal wave, and symmetry were rated. A 2-second segment of sustained vowel was used for perceptual analysis by means of a panel of voice professionals and a rating system. Complications associated with surgery were recorded. Create a personal account to register for email alerts with links to free full-text articles. A combination of medialization and reinnervation would be expected to further improve vocal quality over medialization alone.


There were no episodes of airway obstruction requiring tracheostomy or implant extrusion. Get free access to newly published articles Create a personal account or sign in ayrtenoid Sign aryteoid to adruction your subscriptions Sign in to your personal account.

Improvement of voice after surgery was dramatic in all of the patients who were operated on.

Combined arytenoid adduction and laryngeal reinnervation in the treatment of vocal fold paralysis.

Future directions will focus on determination of those patients best served by arytenoid adduction. A retrospective review of preoperative and postoperative voice analysis on all patients who underwent arytenoid adduction alone adduction group or combined arytenoid adduction and ansa cervicalis to recurrent laryngeal nerve anastomosis combined group between and adducfion the treatment of unilateral vocal cord paralysis.

The role of laryngeal reinnervation in the treatment of unilateral vocal cord paralysis remains to be established.