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Comparison of voice outcomes after trial and long‐term vocal fold augmentation in vocal fold atrophy
Author(s) -
Young VyVy N.,
GartnerSchmidt Jackie,
Rosen Clark A.
Publication year - 2015
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1002/lary.25043
Subject(s) - medicine , atrophy , vocal folds , larynx , randomized controlled trial , phonation , surgery , laryngoscopy , vocal fold paralysis , laryngology , voice therapy , audiology , paralysis , intubation
Objectives/Hypothesis To compare voice outcomes after vocal fold augmentation using a trial (temporary) vocal fold injection (VFI) versus long‐term augmentation in patients diagnosed with vocal fold atrophy. Study Design Retrospective, single‐blinded study. Methods Nineteen patients diagnosed with vocal fold atrophy underwent trial VFI and subsequent long‐term augmentation. Voice Handicap Index‐10, acoustic, and aerodynamic measures were analyzed following trial and long‐term augmentation procedures. Results Forty‐two percent (8/19) of patients had a good response to trial VFI ( P < .0001); 58% (11/19) had a poor response to trial VFI ( P = .95). Of the patients with good response to trial VFI, 75% (6/8) also had good response to long‐term augmentation ( P = .006), but 25% (2/8) reported a poor response to long‐term treatment. Of the patients who had a poor response to trial VFI, 55% (6/11) also had a poor response to long‐term treatment, but 45% (5/11) of patients reported good response after long‐term augmentation. Conclusions This is the first study to provide comparative voice outcomes using both trial VFI and long‐term augmentation for vocal fold atrophy. Additional critical evaluation of the value of trial VFI for vocal fold atrophy patients is suggested. Level of Evidence 4. Laryngoscope , 125:934–940, 2015