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The Egyptian Journal of Otolaryngology
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Comparison between functional outcomes in patients with unilateral vocal fold paralysis undergoing injection laryngoplasty under general anesthesia versus local anesthesia

The Egyptian Journal of Otolaryngology volume 35, pages 92–102 (2019)Cite this article

Abstract

Introduction

Injection laryngoplasty (IL) continues to evolve, as new techniques, approaches, and injection materials are continuously being developed. Although it was performed under general anesthesia in the operating room, IL is now increasingly being performed in an office-based setting.

Aim

The aim of this study was to compare functional voice outcomes in patients with unilateral vocal fold paralysis undergoing injection laryngoplasty local versus general anesthesia.

Patients and Methods

A prospective interventional study was done to compare functional outcomes and patient satisfaction between group A (15 patients) with unilateral vocal fold paralysis undergoing injection laryngoplasty under local anesthesia, versus group B (15 patients) with unilateral vocal fold paralysis undergoing injection laryngoplasty under general anesthesia, by analyzing total Arabic Voice Handicap Index (VHI) scores and subscale scores preoperatively and post operatively.

Results

All results obtained in this study showed that there was no significant difference for the functional outcomes and patient satisfaction obtained for both groups under study.

Conclusion

In conclusion, IL under local anesthesia gives similar results as general anesthesia regarding functional outcomes and patient satisfaction of voice quality by themselves as well as by using the voice handicap index.

References

  1. Deary IJ, Webb A, MacKenzie K, Wilson JA, Carding PN. Short, self-report voice symptom scales: psychometric characteristics of the voice handicap index-10 and the vocal performance questionnaire. Otolaryngol Head Neck Surg 2004; 31:232–235.

    Article  Google Scholar 

  2. Carrol T, Rosen CA. Long-term results of calcium hydroxylapetite (CAHA) vocal fold injection for glottal incompetence. Las Vegas, NV, USA: Combined Otolaryngology Spring Meeting, ALA section; 2010.

    Google Scholar 

  3. McFarlane SC, Watterson TL, von Berg S. Behavioral intervention in the presence of unilateral vocal fold paralysis: indications, diagnosis, techniques, and interpretation. Phonoscope 1999; 2:203–215.

    Google Scholar 

  4. Wilson JA, Webb A, Carding PN, Steen IN, Mackenzie K, Deary IJ. Voice symptom scale and the voice handicap index (VHI): a comparison of structure and content. Clin Otolaryngol 2004; 29:169–174.

    Article  CAS  Google Scholar 

  5. Jacobson BH, Jonson A, Grywalski C, Silbergleit A, Jacobson G, Benninger MS, et al. The Voice Handicap Index (VHI): development and validation. Am J Speech Lang Pathol 1997; 6:66–70.

    Article  Google Scholar 

  6. Shen T, Damrose EJ, Morzaria S. A meta-analysis of voice outcome comparing calcium hydroxylapatite injection laryngoplasty to silicone thyroplasty. Otolaryngol Head Neck Surg 2013; 148:197–208.

    Article  Google Scholar 

  7. Mallur PS, Rosen CA. Vocal fold injection: review of indications, techniques, and materials for augmentation. Clin Exp Otorhinolaryngol 2010; 3:177–182.

    Article  Google Scholar 

  8. Bove MJ, Jabbour N, Krishna P, Flaherty K, Saul M, Wunar R, et al. Operating room versus office-based injection laryngoplasty: a comparative analysis of reimbursement. Laryngoscope 2007; 117:226–230.

    Article  Google Scholar 

  9. Sulica L, Blitzer A, Lovelace RE, Kaufmann P. Vocal fold paresis of Charcot-Marie-Tooth disease. Ann Otol Rhinol Laryngol 2001; 110:1072–1076.

    Article  CAS  Google Scholar 

  10. Malki KH, Mesallam TA, Farahat M, Bukhari M, Murry T. Validation and cultural modification of Arabic voice handicap index. Eur Arch Otorhinolaryngol 2010; 267:1743–1751.

    Article  Google Scholar 

  11. Myssiorek D. Recurrent laryngeal nerve paralysis: anatomy and etiology. Otolaryngol Clin North Am 2004; 37:25–44.

    Article  Google Scholar 

  12. Havas T, Lowinger D, Priestley J. Unilateral vocal fold paralysis: causes, options and outcomes. Aust N Z J Surg 1999; 69:509–513.

    Article  CAS  Google Scholar 

  13. Mehlum CS, Faber CE, Grontved AM. Vocal fold palsy-etiology and outcome. Ugeskr Laeger 2009; 171:109–112.

    PubMed  Google Scholar 

  14. Vanderpump MP. The epidemiology of thyroid disease. Br Med Bull 2011; 99:39–51.

    Article  Google Scholar 

  15. Benninger MS, Ahuja AS, Gardner G, et al. Assessing outcomes for dysphonic patients. J Voice 1998; 12:540–550.

    Article  CAS  Google Scholar 

  16. Dejonckere PH, Bradley P, Clemente P, Cornut G, Crevier-Buchmann L, Friedrich G, et al. A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques: guideline elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS). Eur Arch Otorhinolaryngol 2001; 258:77–82.

    Article  CAS  Google Scholar 

  17. Mathison CC, Villari CR, Klein AM, Johns MM. Comparison of outcomes and complications between awake and asleep injection laryngoplasty: a case-control study. Laryngoscope 2009; 119:1417–1423.

    Article  Google Scholar 

  18. Nerurkar NK, Kirtane MV, Bhattacharyya AK. Special considerations for the professional voice users. Laryngol Otorhinolaryngol Head Neck Surg 2014; 36:324.

    Google Scholar 

  19. Rosen CA, Simpson CB. Per oral vocal cord augmentation in the clinic setting. operative techniques in laryngology. Heidelberg, Germany: Springer; 2008. 209–213.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. ENT Department, Alahrar Teaching Hospital, Giza, Egypt

    Amr R. El-Badrawy (Professor of Otorhinolaryngology), Hassan M. El-Hoshy & Ayatallah R. Sheikhany MD (Lecturer of phoniatrics)

  2. Alahrar Teaching Hospital, Giza, Egypt

    Wael S. A. El-Rehim (ENT specialist - Police Hospitals)

Authors
  1. Amr R. El-Badrawy
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  2. Hassan M. El-Hoshy
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  3. Ayatallah R. Sheikhany MD
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  4. Wael S. A. El-Rehim
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Corresponding author

Correspondence to Ayatallah R. Sheikhany MD.

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El-Badrawy, A.R., El-Hoshy, H.M., Sheikhany, A.R. et al. Comparison between functional outcomes in patients with unilateral vocal fold paralysis undergoing injection laryngoplasty under general anesthesia versus local anesthesia. Egypt J Otolaryngol 35, 92–102 (2019). https://doi.org/10.4103/ejo.ejo_111_18

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  • DOI: https://doi.org/10.4103/ejo.ejo_111_18

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