Cargando…

Patient-Related Factors of Medialization Laryngoplasty with Autologous Thyroid Cartilage

(1) Background: Medialization laryngoplasty with autologous thyroid cartilage (MLATC) is a surgical treatment for glottal closure insufficiency (GCI) resulted from unilateral vocal fold paralysis/paresis (UVFP) and vocal fold atrophy. We aimed to survey the influence of patient-related factors on th...

Descripción completa

Detalles Bibliográficos
Autores principales: Tsai, Yao-Te, Tsai, Ming-Shao, Chang, Geng-He, Lee, Li-Ang, Yang, Ming-Yu, Yang, Yao-Hsu, Wu, Chin-Yuan, Hsu, Cheng-Ming
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7711452/
https://www.ncbi.nlm.nih.gov/pubmed/33266030
http://dx.doi.org/10.3390/healthcare8040521
_version_ 1783618149484068864
author Tsai, Yao-Te
Tsai, Ming-Shao
Chang, Geng-He
Lee, Li-Ang
Yang, Ming-Yu
Yang, Yao-Hsu
Wu, Chin-Yuan
Hsu, Cheng-Ming
author_facet Tsai, Yao-Te
Tsai, Ming-Shao
Chang, Geng-He
Lee, Li-Ang
Yang, Ming-Yu
Yang, Yao-Hsu
Wu, Chin-Yuan
Hsu, Cheng-Ming
author_sort Tsai, Yao-Te
collection PubMed
description (1) Background: Medialization laryngoplasty with autologous thyroid cartilage (MLATC) is a surgical treatment for glottal closure insufficiency (GCI) resulted from unilateral vocal fold paralysis/paresis (UVFP) and vocal fold atrophy. We aimed to survey the influence of patient-related factors on the outcomes after MLATC. (2) Methods: The study enrolled 35 patients with GCI who underwent MLATC. Patient voice data were recorded before and after MLATC by using multiple acoustic parameters and subjective assessment in a computerized speech laboratory. GCI patients were characterized into subgroups based on three factors: age, ≥60 vs. <60 years; sex, men vs. women; and BMI, ≥24 vs. <24. (3) Results: When the subgroups were compared, men did not have better results after surgery than women. Patients ages < 60 years did not exhibit any significantly different outcome compared with those aged ≥ 60 years. Patients with BMI ≥ 24 did not have any significantly different outcome compared with those with BMI < 24. The subgroups of age, sex, and BMI had no significant difference in cumulative voice recovery and summation of GRBAS (G = grade, R = roughness, B = breathiness, A = asthenia, and S = strain). (4) Conclusions: MLATC is a good alternative surgery with long-term improvement in GCI patients. There is no evidence that age, sex, or BMI affect the functional outcome.
format Online
Article
Text
id pubmed-7711452
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-77114522020-12-04 Patient-Related Factors of Medialization Laryngoplasty with Autologous Thyroid Cartilage Tsai, Yao-Te Tsai, Ming-Shao Chang, Geng-He Lee, Li-Ang Yang, Ming-Yu Yang, Yao-Hsu Wu, Chin-Yuan Hsu, Cheng-Ming Healthcare (Basel) Article (1) Background: Medialization laryngoplasty with autologous thyroid cartilage (MLATC) is a surgical treatment for glottal closure insufficiency (GCI) resulted from unilateral vocal fold paralysis/paresis (UVFP) and vocal fold atrophy. We aimed to survey the influence of patient-related factors on the outcomes after MLATC. (2) Methods: The study enrolled 35 patients with GCI who underwent MLATC. Patient voice data were recorded before and after MLATC by using multiple acoustic parameters and subjective assessment in a computerized speech laboratory. GCI patients were characterized into subgroups based on three factors: age, ≥60 vs. <60 years; sex, men vs. women; and BMI, ≥24 vs. <24. (3) Results: When the subgroups were compared, men did not have better results after surgery than women. Patients ages < 60 years did not exhibit any significantly different outcome compared with those aged ≥ 60 years. Patients with BMI ≥ 24 did not have any significantly different outcome compared with those with BMI < 24. The subgroups of age, sex, and BMI had no significant difference in cumulative voice recovery and summation of GRBAS (G = grade, R = roughness, B = breathiness, A = asthenia, and S = strain). (4) Conclusions: MLATC is a good alternative surgery with long-term improvement in GCI patients. There is no evidence that age, sex, or BMI affect the functional outcome. MDPI 2020-11-30 /pmc/articles/PMC7711452/ /pubmed/33266030 http://dx.doi.org/10.3390/healthcare8040521 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tsai, Yao-Te
Tsai, Ming-Shao
Chang, Geng-He
Lee, Li-Ang
Yang, Ming-Yu
Yang, Yao-Hsu
Wu, Chin-Yuan
Hsu, Cheng-Ming
Patient-Related Factors of Medialization Laryngoplasty with Autologous Thyroid Cartilage
title Patient-Related Factors of Medialization Laryngoplasty with Autologous Thyroid Cartilage
title_full Patient-Related Factors of Medialization Laryngoplasty with Autologous Thyroid Cartilage
title_fullStr Patient-Related Factors of Medialization Laryngoplasty with Autologous Thyroid Cartilage
title_full_unstemmed Patient-Related Factors of Medialization Laryngoplasty with Autologous Thyroid Cartilage
title_short Patient-Related Factors of Medialization Laryngoplasty with Autologous Thyroid Cartilage
title_sort patient-related factors of medialization laryngoplasty with autologous thyroid cartilage
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7711452/
https://www.ncbi.nlm.nih.gov/pubmed/33266030
http://dx.doi.org/10.3390/healthcare8040521
work_keys_str_mv AT tsaiyaote patientrelatedfactorsofmedializationlaryngoplastywithautologousthyroidcartilage
AT tsaimingshao patientrelatedfactorsofmedializationlaryngoplastywithautologousthyroidcartilage
AT changgenghe patientrelatedfactorsofmedializationlaryngoplastywithautologousthyroidcartilage
AT leeliang patientrelatedfactorsofmedializationlaryngoplastywithautologousthyroidcartilage
AT yangmingyu patientrelatedfactorsofmedializationlaryngoplastywithautologousthyroidcartilage
AT yangyaohsu patientrelatedfactorsofmedializationlaryngoplastywithautologousthyroidcartilage
AT wuchinyuan patientrelatedfactorsofmedializationlaryngoplastywithautologousthyroidcartilage
AT hsuchengming patientrelatedfactorsofmedializationlaryngoplastywithautologousthyroidcartilage