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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...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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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 |
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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 |
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