Arytenoid adduction combined with medialization thyroplasty: an evidence-based review. Review uri icon

Overview

abstract

  • OBJECTIVE: Medialization thyroplasty (MT) and arytenoid adduction (AA) are effective treatments for medializing the paralyzed vocal cord, but indications and benefits of each procedure are controversial. We performed a formal evidence-based review to answer this question: In patients with unilateral vocal cord paralysis, does AA combined with MT significantly improve subjective and objective voice outcomes compared with MT alone?Study design We performed a MEDLINE literature search using specific search terms to identify pertinent articles, which were reviewed and graded according to the evidence quality. RESULTS: We identified 219 potentially pertinent articles; detailed review yielded 10 studies for further analysis. Only 3 studies directly compared MT with AA plus MT: overall, there was no clear benefit in subjective or objective outcomes for AA plus MT. CONCLUSIONS: Very limited grade C evidence indicates no clear benefit, or lack of benefit, in subjective or objective outcomes if AA is added to MT, compared with MT alone.

publication date

  • October 1, 2003

Research

keywords

  • Arytenoid Cartilage
  • Evidence-Based Medicine
  • Laryngeal Muscles
  • Otorhinolaryngologic Surgical Procedures
  • Thyroid Gland
  • Vocal Cord Paralysis

Identity

Scopus Document Identifier

  • 0141992875

Digital Object Identifier (DOI)

  • 10.1016/S0194-59980301390-1

PubMed ID

  • 14574281

Additional Document Info

volume

  • 129

issue

  • 4