Medialization laryngoplasty for odynophonia.

Abstract

IMPORTANCE:

Medialization laryngoplasty (ML) remains the gold standard for the long-term treatment of hoarseness related to glottal insufficiency. Odynophonia is a less common manifestation of glottal insufficiency related to vocal fold motion impairment (VFMI), and ML is hypothesized to relieve pain associated with this condition.

OBJECTIVE:

To evaluate whether patients with VFMI and a chief complaint of odynophonia may achieve pain relief with ML, regardless of the degree of vocal impairment.

DESIGN, SETTING, AND PARTICIPANTS:

We conducted a retrospective review of medical records for 8 patients with VFMI and a chief complaint of odynophonia who were treated at 2 tertiary care laryngology centers over a 2-year period.

INTERVENTIONS:

All patients underwent ML.

MAIN OUTCOMES AND MEASURES:

Patient-reported relief of pain, preoperative and postoperative Voice Handicap Index 10 (VHI-10) scores, and Consensus Auditory-Perceptual Evaluation of Voice (CAPE-V) scores were obtained.

RESULTS:

All eight patients (5 women and 3 men; mean age, 42 years) had durable relief of their discomfort postoperatively (average follow-up, 14 months). Mean VHI-10 scores improved significantly from 17.9 preoperatively to 6.3 postoperatively (P = .001), while perceptual voice parameters as measured by CAPE-V were unchanged. There were no complications.

CONCLUSIONS AND RELEVANCE:

In select cases of VFMI, ML can relieve pain related to voice use, even in the absence of significant hoarseness.

• Authors: Robbi A Kupfer, Albert L Merati, Lucian Sulica
• Journal: JAMA otolaryngology-- head & neck surgery (JAMA Otolaryngol Head Neck Surg) Vol. 141 Issue 6 Pg. 556-61 (Jun 2015) ISSN: 2168-619X [Electronic] United States
• PMID: 25812158 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Cicatrix (diagnosis, etiology)
• Dysphonia (complications, surgery)
• Female
• Follow-Up Studies
• Granuloma (diagnosis, etiology)
• Humans
• Laryngeal Diseases (diagnosis, etiology)
• Laryngoplasty (adverse effects, methods)
• Male
• Middle Aged
• Pain Measurement
• Retrospective Studies
• Stroboscopy
• Treatment Outcome
• Vocal Cord Paralysis (diagnosis, etiology)
• Vocal Cords (surgery)
• Voice Quality