Open AccessMedialization Laryngoplasty: A Review for Speech-Language Pathologists
Author(s) -
Azure Wilson,
Emily E. Kimball,
Lea Sayce,
H. L. Luo,
Sid Khosla,
Bernard Rousseau
Publication year - 2021
Publication title -
journal of speech, language, and hearing research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.958
H-Index - 138
eISSN - 1558-9102
pISSN - 1092-4388
DOI - 10.1044/2020_jslhr-20-00344
Subject(s) - medicine , tolerability , medical physics , intensive care medicine , laryngoplasty , medline , voice therapy , laryngeal diseases , multidisciplinary approach , audiology , surgery , larynx , alternative medicine , pathology , social science , sociology , political science , law
Purpose The purpose of this study is to familiarize speech-language-pathologists with the current state of the science regarding medialization laryngoplasty in the treatment of voice disorders, with emphasis on current evidence-based practice, voice outcomes, and future directions for research. Method A literature review was performed in PubMed and Embase using the keywords vocal fold/cord and laryngoplasty, thyroplasty, augmentation, or laryngeal framework . Articles published between 2010 and 2020 were reviewed for data about clinical applications, technical approach, voice-related outcomes, and basic science or clinical innovations with the potential to improve patient care. A synthesis of data was performed from articles meeting the outlined search criteria. Conclusions As key members in the multidisciplinary care of voice disorders, speech-language pathologists need to be informed of current research in medialization laryngoplasty, a procedure commonly used for patients with glottic insufficiency. Advances in anesthetic technique, office-based procedures, and the development of materials with increased bio-tolerability over the past decade have led to innovations in treatment and improved patient outcomes. Recent applications of computational and bioengineering approaches have the potential to provide new directions in the refinement of currently available techniques and the improvement of patient-based treatment outcomes.