A modified false vocal fold flap for functional reconstruction after frontolateral partial laryngectomy: a comparison with conventional open resection and laser cordectomy
Objective: To describe a modified flap technique (MFT) involving the use of a false vocal fold flap for glottic reconstruction and the removal of arytenoid cartilage and to compare it with conventional frontolateral partial laryngectomy (FLPL) and laser cordectomy (LC).Methods: Twenty-eight MFT, 13...
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German Medical Science GMS Publishing House
2013-10-01
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doaj-467b9220542646df80f6ef597131bedd2020-11-25T02:40:23ZdeuGerman Medical Science GMS Publishing HouseGMS Interdisciplinary Plastic and Reconstructive Surgery DGPW2193-80912013-10-012Doc1410.3205/iprs000034A modified false vocal fold flap for functional reconstruction after frontolateral partial laryngectomy: a comparison with conventional open resection and laser cordectomyLorenz, Kai J.0Kohnle, Roland1Maier, Heinz2Department of Otolaryngology/Head and Neck Surgery, German Armed Forces Hospital of Ulm, Ulm, GermanyDepartment of Otolaryngology/Head and Neck Surgery, German Armed Forces Hospital of Ulm, Ulm, GermanyDepartment of Otolaryngology/Head and Neck Surgery, German Armed Forces Hospital of Ulm, Ulm, GermanyObjective: To describe a modified flap technique (MFT) involving the use of a false vocal fold flap for glottic reconstruction and the removal of arytenoid cartilage and to compare it with conventional frontolateral partial laryngectomy (FLPL) and laser cordectomy (LC).Methods: Twenty-eight MFT, 13 FLPL and 12 LC patients completed a standardised questionnaire for assessing aspiration, respiration, quality of life, and subjective voice quality. We analysed vocal function in terms of roughness, breathiness and hoarseness, measured voice range profiles, and performed videoendoscopy. Results: No patient reported respiratory problems. Aspiration occurred in 33.3% (MFT), 41.6% (FLPL) and 16.6% (LC). Voice quality was rated as good/satisfactory by 17 MFT patients (62%), satisfactory/sufficient by 69% of FLKT patients, and sufficient/poor by 75% of LC patients.Conclusions: The modified false vocal fold flap effectively covers defects and creates a neocord that ensures good phonatory rehabilitation and has positive effects on postoperative quality of life.http://www.egms.de/static/en/journals/iprs/2013-2/iprs000034.shtmlpartial laryngectomylaser cordectomyvoice qualityquality of life |
collection |
DOAJ |
language |
deu |
format |
Article |
sources |
DOAJ |
author |
Lorenz, Kai J. Kohnle, Roland Maier, Heinz |
spellingShingle |
Lorenz, Kai J. Kohnle, Roland Maier, Heinz A modified false vocal fold flap for functional reconstruction after frontolateral partial laryngectomy: a comparison with conventional open resection and laser cordectomy GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW partial laryngectomy laser cordectomy voice quality quality of life |
author_facet |
Lorenz, Kai J. Kohnle, Roland Maier, Heinz |
author_sort |
Lorenz, Kai J. |
title |
A modified false vocal fold flap for functional reconstruction after frontolateral partial laryngectomy: a comparison with conventional open resection and laser cordectomy |
title_short |
A modified false vocal fold flap for functional reconstruction after frontolateral partial laryngectomy: a comparison with conventional open resection and laser cordectomy |
title_full |
A modified false vocal fold flap for functional reconstruction after frontolateral partial laryngectomy: a comparison with conventional open resection and laser cordectomy |
title_fullStr |
A modified false vocal fold flap for functional reconstruction after frontolateral partial laryngectomy: a comparison with conventional open resection and laser cordectomy |
title_full_unstemmed |
A modified false vocal fold flap for functional reconstruction after frontolateral partial laryngectomy: a comparison with conventional open resection and laser cordectomy |
title_sort |
modified false vocal fold flap for functional reconstruction after frontolateral partial laryngectomy: a comparison with conventional open resection and laser cordectomy |
publisher |
German Medical Science GMS Publishing House |
series |
GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW |
issn |
2193-8091 |
publishDate |
2013-10-01 |
description |
Objective: To describe a modified flap technique (MFT) involving the use of a false vocal fold flap for glottic reconstruction and the removal of arytenoid cartilage and to compare it with conventional frontolateral partial laryngectomy (FLPL) and laser cordectomy (LC).Methods: Twenty-eight MFT, 13 FLPL and 12 LC patients completed a standardised questionnaire for assessing aspiration, respiration, quality of life, and subjective voice quality. We analysed vocal function in terms of roughness, breathiness and hoarseness, measured voice range profiles, and performed videoendoscopy. Results: No patient reported respiratory problems. Aspiration occurred in 33.3% (MFT), 41.6% (FLPL) and 16.6% (LC). Voice quality was rated as good/satisfactory by 17 MFT patients (62%), satisfactory/sufficient by 69% of FLKT patients, and sufficient/poor by 75% of LC patients.Conclusions: The modified false vocal fold flap effectively covers defects and creates a neocord that ensures good phonatory rehabilitation and has positive effects on postoperative quality of life. |
topic |
partial laryngectomy laser cordectomy voice quality quality of life |
url |
http://www.egms.de/static/en/journals/iprs/2013-2/iprs000034.shtml |
work_keys_str_mv |
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