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Otolaryngol Head Neck Surg. 2007 Mar;136(3):440-4.

Medialization thyroplasty for cancer-related unilateral vocal fold paralysis.

Author information

1
Division of Otorhinolaryngology, Head & Neck Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong.

Abstract

OBJECTIVE:

To justify the application of medialization thyroplasty in Chinese patients with symptomatic cancer-related unilateral vocal fold paralysis (UVFP).

STUDY DESIGN AND SETTING:

Retrospective chart review from February 2000 to March 2006.

RESULTS:

Eighty-seven Chinese patients undergoing medialization thyroplasty for UVFP were included; there were no significant differences between the cancer-related and benign groups in terms of the speech and swallowing rehabilitation outcome and the perioperative complication rate (P > 0.05). The median survival time of cancer-related UVFP patients from the date of medialization to death was 129 days. Age more than 65 years was identified as the only factor for a shorter survival period after medialization (P = 0.040).

CONCLUSION:

Medialization thyroplasty restores satisfactory speech and swallowing and has a low perioperative complication rate in Chinese patients with cancer-related UVFP. Postmedialization survival period was also reasonable.

SIGNIFICANCE:

Medialization thyroplasty is a justifiable treatment option for cancer-related UVFP.

PMID:
17321874
DOI:
10.1016/j.otohns.2006.11.009
[Indexed for MEDLINE]

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