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81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

12.05. - 16.05.2010, Wiesbaden

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Endolaryngeal medialisation for glottic scars – techniques and functional results

Meeting Abstract

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  • corresponding author presenting/speaker Christoph Arens - Universitätsklinikum Magdeburg, Germany
  • Frank Thiele - Uniklinikum Gießen und Marburg, Gießen, Germany
  • Hiltrud Glanz - Uniklinikum Gießen und Marburg, Gießen, Germany

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. 81st Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery. Wiesbaden, 12.-16.05.2010. Düsseldorf: German Medical Science GMS Publishing House; 2010. Doc10hno002

doi: 10.3205/10hno002, urn:nbn:de:0183-10hno0021

Published: July 6, 2010

© 2010 Arens et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Background: Scars of the vocal folds may lead to a significant impairment of voice quality and represent a challenge in phonosurgery. Specific surgical techniques, e.g. medialisation or mucosal flaps, are able to improve phonation.

Material and methods: In a retrospective study 23 patients with medialisation procedures (2000–2007) including the implantation of septal cartilage for improvement of voice quality were evaluated. Voice range profile, hoarseness diagram, RBH-scale and standardized questionnaires were performed.

Results: Significant improvement was noted in the subjective rating of voice and life quality. Breathiness of the RBH-scale dropped significantly after medialisation procedure. Phonation quotient improved by 261 ml/sec. Reading voice range profile rose by 5.3 semi tones.

Conclusion: Application of endolaryngeal medialisation of the vocal folds after cordectomy may lead to an improvement of voice and life quality.