Visual observations of glottal configuration and vocal outcomes in arytenoid adduction.

Abstract:

:Arytenoid adduction procedures involve approximation of the arytenoid cartilages with the goal of reducing posterior glottal gap size and improving voice. However, voice outcomes after arytenoid adduction are not always optimal and may be improved by precise use of suture placements, forces, and direction angles. The development of intraoperative methods of assessing optimal suture direction appears critical for achieving the best voice outcome. The goal of this study was to examine the relationship of visual classification of glottal configuration, digital measures of the glottis, acoustic and aerodynamic measures, and voice outcome. Our results suggested that visual classification of glottal configuration was not useful in distinguishing voice outcome, except for cases in which there was a large posterior glottal gap. In contrast, acoustic and aerodynamic measures were related to digitized glottal measures and may be developed into a useful method of intraoperative monitoring.

journal_name

Am J Otolaryngol

authors

Inagi K,Connor NP,Suzuki T,Bless DM,Kamijo T

doi

10.1016/s0196-0709(03)00054-1

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

290-6

issue

5

eissn

0196-0709

issn

1532-818X

pii

S0196070903000541

journal_volume

24

pub_type

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