Treatment Outcomes of Bilateral Medialization Thyroplasty for Presbylaryngis

Jordan J. Allensworth, Karla O'Dell, Aaron Ziegler, Linda Bryans, Paul Flint, Joshua Schindler

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Presbylaryngis is a common cause of dysphonia in elderly patients. Type I thyroplasty serves to improve glottic closure and vocal quality by correcting bowing. Although unilateral and injection-based procedures are well-characterized in the treatment of broadly defined glottic insufficiency, there are insufficient outcomes data for bilateral medialization thyroplasty in the treatment of presbylaryngis. The aim of this study was to review the change in measures of vocal quality before and after bilateral medialization thyroplasty for presbylaryngis. Study Design: This is a retrospective case series. Methods: The records of 21 patients with presbylaryngis undergoing bilateral medialization thyroplasty between 2007 and 2014 were reviewed. Implant materials included silastic (n = 17) and hydroxyapatite (n = 4). Preoperative and postoperative comparison of vocal function was conducted using Voice Handicap Index, maximum phonation time, auditory-perceptual severity ratings, and blinded paired-comparison of Consensus Auditory-Perceptual Evaluation of Voice and Visual-perceptual stroboscopic ratings. Paired sample t tests were used to assess all outcome measures. Results: Significant improvements were found in Voice Handicap Index scores (P < 0.007), maximum phonation time (P < 0.03), Consensus Auditory-Perceptual Evaluation of Voice (P < 0.04), and clinician rating of vocal quality (P < 0.0001). Blinded raters noted a significant improvement in audio (P < 0.05) and videostroboscopic (P < 0.003) samples after surgery. There were no operative complications observed, and median hospital stay was one night. Conclusions: Patients with presbylaryngis demonstrated significant improvement in both objective and subjective measures of vocal quality following bilateral medialization thyroplasty. These data suggest that medialization thyroplasty is a safe option that warrants consideration in the treatment of presbylaryngis.

Original languageEnglish (US)
JournalJournal of Voice
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Laryngoplasty
Phonation
Tongue
Dysphonia
Matched-Pair Analysis
Durapatite
Length of Stay
Therapeutics
Outcome Assessment (Health Care)
Injections

Keywords

  • Atrophy
  • Bilateral
  • Medialization
  • Presbylaryngis
  • Thyroplasty

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Speech and Hearing
  • LPN and LVN

Cite this

Treatment Outcomes of Bilateral Medialization Thyroplasty for Presbylaryngis. / Allensworth, Jordan J.; O'Dell, Karla; Ziegler, Aaron; Bryans, Linda; Flint, Paul; Schindler, Joshua.

In: Journal of Voice, 01.01.2018.

Research output: Contribution to journalArticle

@article{152b8d78dce7410dbbb67730780a4934,
title = "Treatment Outcomes of Bilateral Medialization Thyroplasty for Presbylaryngis",
abstract = "Background: Presbylaryngis is a common cause of dysphonia in elderly patients. Type I thyroplasty serves to improve glottic closure and vocal quality by correcting bowing. Although unilateral and injection-based procedures are well-characterized in the treatment of broadly defined glottic insufficiency, there are insufficient outcomes data for bilateral medialization thyroplasty in the treatment of presbylaryngis. The aim of this study was to review the change in measures of vocal quality before and after bilateral medialization thyroplasty for presbylaryngis. Study Design: This is a retrospective case series. Methods: The records of 21 patients with presbylaryngis undergoing bilateral medialization thyroplasty between 2007 and 2014 were reviewed. Implant materials included silastic (n = 17) and hydroxyapatite (n = 4). Preoperative and postoperative comparison of vocal function was conducted using Voice Handicap Index, maximum phonation time, auditory-perceptual severity ratings, and blinded paired-comparison of Consensus Auditory-Perceptual Evaluation of Voice and Visual-perceptual stroboscopic ratings. Paired sample t tests were used to assess all outcome measures. Results: Significant improvements were found in Voice Handicap Index scores (P < 0.007), maximum phonation time (P < 0.03), Consensus Auditory-Perceptual Evaluation of Voice (P < 0.04), and clinician rating of vocal quality (P < 0.0001). Blinded raters noted a significant improvement in audio (P < 0.05) and videostroboscopic (P < 0.003) samples after surgery. There were no operative complications observed, and median hospital stay was one night. Conclusions: Patients with presbylaryngis demonstrated significant improvement in both objective and subjective measures of vocal quality following bilateral medialization thyroplasty. These data suggest that medialization thyroplasty is a safe option that warrants consideration in the treatment of presbylaryngis.",
keywords = "Atrophy, Bilateral, Medialization, Presbylaryngis, Thyroplasty",
author = "Allensworth, {Jordan J.} and Karla O'Dell and Aaron Ziegler and Linda Bryans and Paul Flint and Joshua Schindler",
year = "2018",
month = "1",
day = "1",
doi = "10.1016/j.jvoice.2017.10.014",
language = "English (US)",
journal = "Journal of Voice",
issn = "0892-1997",
publisher = "Mosby Inc.",

}

TY - JOUR

T1 - Treatment Outcomes of Bilateral Medialization Thyroplasty for Presbylaryngis

AU - Allensworth, Jordan J.

AU - O'Dell, Karla

AU - Ziegler, Aaron

AU - Bryans, Linda

AU - Flint, Paul

AU - Schindler, Joshua

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Background: Presbylaryngis is a common cause of dysphonia in elderly patients. Type I thyroplasty serves to improve glottic closure and vocal quality by correcting bowing. Although unilateral and injection-based procedures are well-characterized in the treatment of broadly defined glottic insufficiency, there are insufficient outcomes data for bilateral medialization thyroplasty in the treatment of presbylaryngis. The aim of this study was to review the change in measures of vocal quality before and after bilateral medialization thyroplasty for presbylaryngis. Study Design: This is a retrospective case series. Methods: The records of 21 patients with presbylaryngis undergoing bilateral medialization thyroplasty between 2007 and 2014 were reviewed. Implant materials included silastic (n = 17) and hydroxyapatite (n = 4). Preoperative and postoperative comparison of vocal function was conducted using Voice Handicap Index, maximum phonation time, auditory-perceptual severity ratings, and blinded paired-comparison of Consensus Auditory-Perceptual Evaluation of Voice and Visual-perceptual stroboscopic ratings. Paired sample t tests were used to assess all outcome measures. Results: Significant improvements were found in Voice Handicap Index scores (P < 0.007), maximum phonation time (P < 0.03), Consensus Auditory-Perceptual Evaluation of Voice (P < 0.04), and clinician rating of vocal quality (P < 0.0001). Blinded raters noted a significant improvement in audio (P < 0.05) and videostroboscopic (P < 0.003) samples after surgery. There were no operative complications observed, and median hospital stay was one night. Conclusions: Patients with presbylaryngis demonstrated significant improvement in both objective and subjective measures of vocal quality following bilateral medialization thyroplasty. These data suggest that medialization thyroplasty is a safe option that warrants consideration in the treatment of presbylaryngis.

AB - Background: Presbylaryngis is a common cause of dysphonia in elderly patients. Type I thyroplasty serves to improve glottic closure and vocal quality by correcting bowing. Although unilateral and injection-based procedures are well-characterized in the treatment of broadly defined glottic insufficiency, there are insufficient outcomes data for bilateral medialization thyroplasty in the treatment of presbylaryngis. The aim of this study was to review the change in measures of vocal quality before and after bilateral medialization thyroplasty for presbylaryngis. Study Design: This is a retrospective case series. Methods: The records of 21 patients with presbylaryngis undergoing bilateral medialization thyroplasty between 2007 and 2014 were reviewed. Implant materials included silastic (n = 17) and hydroxyapatite (n = 4). Preoperative and postoperative comparison of vocal function was conducted using Voice Handicap Index, maximum phonation time, auditory-perceptual severity ratings, and blinded paired-comparison of Consensus Auditory-Perceptual Evaluation of Voice and Visual-perceptual stroboscopic ratings. Paired sample t tests were used to assess all outcome measures. Results: Significant improvements were found in Voice Handicap Index scores (P < 0.007), maximum phonation time (P < 0.03), Consensus Auditory-Perceptual Evaluation of Voice (P < 0.04), and clinician rating of vocal quality (P < 0.0001). Blinded raters noted a significant improvement in audio (P < 0.05) and videostroboscopic (P < 0.003) samples after surgery. There were no operative complications observed, and median hospital stay was one night. Conclusions: Patients with presbylaryngis demonstrated significant improvement in both objective and subjective measures of vocal quality following bilateral medialization thyroplasty. These data suggest that medialization thyroplasty is a safe option that warrants consideration in the treatment of presbylaryngis.

KW - Atrophy

KW - Bilateral

KW - Medialization

KW - Presbylaryngis

KW - Thyroplasty

UR - http://www.scopus.com/inward/record.url?scp=85044716941&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044716941&partnerID=8YFLogxK

U2 - 10.1016/j.jvoice.2017.10.014

DO - 10.1016/j.jvoice.2017.10.014

M3 - Article

C2 - 29326026

AN - SCOPUS:85044716941

JO - Journal of Voice

JF - Journal of Voice

SN - 0892-1997

ER -