Combined surgical medialization and nerve-muscle pedicle reinnervation for unilateral vocal fold paralysis: Improved functional results and prevention of long-term deterioration of voice |
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Authors: | Harvey M. Tucker |
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Affiliation: | Case-Western Reserve University School of Medicine, Cleveland, Ohio, U.S.A. |
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Abstract: | Including those patients that were the subject of our previous report in 1990 (1) a total of 52 patients with unilateral vocal fold paralysis have been managed by combined surgical medialization and nerve-muscle pedicle reinnervation. The technique has been modified only slightly since 1985, when the first such surgery was performed. Short- and long-term voice results determined by a panel of sophisticated listeners are reported, as well as details of patient selection and complications. Better functional results were noted than were observed with surgical medialization alone, and long-term deterioration of the voice improvement initially achieved was prevented with this technique. |
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Keywords: | Surgical medial ization Reinnervation Unilateral vocal fold paralysis Improved voice |
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