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Can preoperative results predict the need for future reintervention following injection laryngoplasty for unilateral vocal fold paralysis?

PURPOSE: The objective was to investigate whether a patient’s preoperative test results can predict the need for future reoperation in unilateral vocal fold paralysis (UVFP). METHODS: A single-centre retrospective study was performed. The study group consisted of 18 patients with UVFP who had been t...

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Autores principales: Miaśkiewicz, Beata, Panasiewicz, Aleksandra, Gos, Elżbieta, Krasnodębska, Paulina, Skarżyński, Piotr H., Szkiełkowska, Agata
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8382642/
https://www.ncbi.nlm.nih.gov/pubmed/34109479
http://dx.doi.org/10.1007/s00405-021-06925-z
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author Miaśkiewicz, Beata
Panasiewicz, Aleksandra
Gos, Elżbieta
Krasnodębska, Paulina
Skarżyński, Piotr H.
Szkiełkowska, Agata
author_facet Miaśkiewicz, Beata
Panasiewicz, Aleksandra
Gos, Elżbieta
Krasnodębska, Paulina
Skarżyński, Piotr H.
Szkiełkowska, Agata
author_sort Miaśkiewicz, Beata
collection PubMed
description PURPOSE: The objective was to investigate whether a patient’s preoperative test results can predict the need for future reoperation in unilateral vocal fold paralysis (UVFP). METHODS: A single-centre retrospective study was performed. The study group consisted of 18 patients with UVFP who had been treated with injection laryngoplasty but who required further treatment and were augmentated again within 36 months. The control group consisted of 33 injected patients who had not required reintervention up to 36 months later. RESULTS: Only glottal gap was associated with a relative risk for reinjection. Glottal gap was found to be severe in 77.8% of the patients from the study group compared to 42.4% of the controls, and the difference was statistically significant. The kind of injected material (calcium hydroxylapatite or hyaluronic acid), age, and voice assessment (perceptual, objective, or subjective) did not seem to affect the likelihood of reoperation being needed. There were no between-group statistically significant differences in individual aspects of the GRBAS scale. The global score was slightly higher in the study group, but it did not reach statistical significance (U = 198.5; p = 0.09). A comparison of VHI scores did not yield statistically significant differences between the study and control groups. No significant differences in objective acoustic voice parameters were observed between the groups. CONCLUSION: Only glottal gap occurred to be associated with a relative risk for reinjection. A kind of injected material (CaHA or HA), age, perceptual, objective and subjective voice assessment do not seem to impact the likelihood of reoperation in patients with UVFP.
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spelling pubmed-83826422021-09-09 Can preoperative results predict the need for future reintervention following injection laryngoplasty for unilateral vocal fold paralysis? Miaśkiewicz, Beata Panasiewicz, Aleksandra Gos, Elżbieta Krasnodębska, Paulina Skarżyński, Piotr H. Szkiełkowska, Agata Eur Arch Otorhinolaryngol Laryngology PURPOSE: The objective was to investigate whether a patient’s preoperative test results can predict the need for future reoperation in unilateral vocal fold paralysis (UVFP). METHODS: A single-centre retrospective study was performed. The study group consisted of 18 patients with UVFP who had been treated with injection laryngoplasty but who required further treatment and were augmentated again within 36 months. The control group consisted of 33 injected patients who had not required reintervention up to 36 months later. RESULTS: Only glottal gap was associated with a relative risk for reinjection. Glottal gap was found to be severe in 77.8% of the patients from the study group compared to 42.4% of the controls, and the difference was statistically significant. The kind of injected material (calcium hydroxylapatite or hyaluronic acid), age, and voice assessment (perceptual, objective, or subjective) did not seem to affect the likelihood of reoperation being needed. There were no between-group statistically significant differences in individual aspects of the GRBAS scale. The global score was slightly higher in the study group, but it did not reach statistical significance (U = 198.5; p = 0.09). A comparison of VHI scores did not yield statistically significant differences between the study and control groups. No significant differences in objective acoustic voice parameters were observed between the groups. CONCLUSION: Only glottal gap occurred to be associated with a relative risk for reinjection. A kind of injected material (CaHA or HA), age, perceptual, objective and subjective voice assessment do not seem to impact the likelihood of reoperation in patients with UVFP. Springer Berlin Heidelberg 2021-06-09 2021 /pmc/articles/PMC8382642/ /pubmed/34109479 http://dx.doi.org/10.1007/s00405-021-06925-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Laryngology
Miaśkiewicz, Beata
Panasiewicz, Aleksandra
Gos, Elżbieta
Krasnodębska, Paulina
Skarżyński, Piotr H.
Szkiełkowska, Agata
Can preoperative results predict the need for future reintervention following injection laryngoplasty for unilateral vocal fold paralysis?
title Can preoperative results predict the need for future reintervention following injection laryngoplasty for unilateral vocal fold paralysis?
title_full Can preoperative results predict the need for future reintervention following injection laryngoplasty for unilateral vocal fold paralysis?
title_fullStr Can preoperative results predict the need for future reintervention following injection laryngoplasty for unilateral vocal fold paralysis?
title_full_unstemmed Can preoperative results predict the need for future reintervention following injection laryngoplasty for unilateral vocal fold paralysis?
title_short Can preoperative results predict the need for future reintervention following injection laryngoplasty for unilateral vocal fold paralysis?
title_sort can preoperative results predict the need for future reintervention following injection laryngoplasty for unilateral vocal fold paralysis?
topic Laryngology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8382642/
https://www.ncbi.nlm.nih.gov/pubmed/34109479
http://dx.doi.org/10.1007/s00405-021-06925-z
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