Phonosurgical Treatment of Glottic Insufficiency

Czech version

Authors: J. Dršata; M. Hudíková; M. Kučera; J. Vokurka; S. Jakoubková
Authors‘ workplace: Klinika ušní nosní a krční LF UK a FN, Hradec Králové přednosta doc. MUDr. J. Vokurka, CSc.
Published in: Otorinolaryngol Foniatr, 57, 2008, No. 4, pp. 210-212.
Category: Original Article

Overview

Glottic insufficiency is a condition cause by various diagnose. Phonosurgery, first of all thyreoplasty type 1 and injection laryngoplasty, represent an effective treatment of such condition. The basic indication of operation is a vocal cord paralysis, eventually atrophy. In the years 2002 – 2006, 46 thyreoplasties and laryngeal injections were performed at the ENT Dept. University Hospital in Hradec Králové; with prevalence of injection laryngoplasties. Predominant indication for an operation was a unilateral vocal fold paralysis. Teflon was the most often used material at injection laryngoplasties, and silicon prosthesis for thyroplasty. Hoarseness was the leading sign for both types of operations, mostly operated side was on the left, and men prevailed over women. Complications of operations also occurred. Thyroplasty type 1 and injection laryngoplasty are suitable, mutually complementary methods in the complex phonosurgical-phoniatric treatment of glottic insufficiency, especially at atrophy and/or unilateral vocal cord paralysis. The operation should be performed by a surgeon with skills in phoniatrics.

Key words:
phonosurgery, injection laryngoplasty, thyroplasty.

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