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Surgery For Hoarseness Due to Unilateral Vocal Cord Paralysis

Surgery For Hoarseness Due to Unilateral Vocal Cord Paralysis Abstract I THE MAJORITY of cases of paralytic dysphonia due to the injury of the unilateral recurrent nerve, a spontaneous improvement of voice occurs within several months by a self-compensatory action of the contralateral vocal cord. In some cases, however, hoarseness or aphonia persists for a long time. The chief complaints of the patients are hoarseness and too short phonation per breath. In these cases, the glottal closure is incomplete and glottal sounds are not generated, even after the unaffected vocal cord adducts to maximal extent. In order to obtain serviceable voice, surgical adduction of the paralytic vocal cord to produce effective glottal closure should be considered. Various operations, long known, have been designed for this purpose. There are three principles on which these procedures are based: (1) transposition of the arytenoid cartilage of the paralyzed side (reverse King operation of Morrison1); (2) injection of paraffin, silicone, or Teflon into References 1. Morrison, L.F.: The "Reverse King Operation" , Ann Otol 57:944-956, 1948. 2. Brünings, W.: Lehrbudh der Erkrankungen des Ohres und der Luftwege , 589-590, Jena: Gustav Fischer, 1912. 3. Rubin, H.J.: Intracordal Injection of Silicone in Selected Dysphonia , Arch Otolaryng 81:604-607, 1965.Crossref 4. Arnold, G.E.: Further Experiences With Intracordal Injection , Laryngoscope 6:802-815, 1954. 5. Payr,: Plastik am Schildknorpel zur Behebung der Folgen einseitiger Stimmbandlähmung , Deutsch Med Wschr No. (43) , 1915. 6. Meurmann, Y.: Mediofixation der Stimmlippe bei ihrer vollständigen Lähmung , Arch Ohren Nas Kchlkopfheilk 154:296-304, 1944.Crossref 7. Meurmann, Y.: Operative Mediofixation of the Vocal Cord in Complete Unilateral Paralysis , Arch Otolaryng 55:544-553, 1952.Crossref 8. Opheim, O.: Unilateral Paralysis of the Vocal Cord , Acta Otolaryng 45:226-230, 1955.Crossref 9. Isshiki, N.: Classification of Hoarseness , Jap J Logopedics Phoniatrics 7:15-21, 1966.Crossref 10. Sawashima, M.: Measurement of Phonation Time , Jap J Logopedics Phoniatrics 7:23-28, 1966.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology American Medical Association

Surgery For Hoarseness Due to Unilateral Vocal Cord Paralysis

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0003-9977
DOI
10.1001/archotol.1968.00760060291013
Publisher site
See Article on Publisher Site

Abstract

Abstract I THE MAJORITY of cases of paralytic dysphonia due to the injury of the unilateral recurrent nerve, a spontaneous improvement of voice occurs within several months by a self-compensatory action of the contralateral vocal cord. In some cases, however, hoarseness or aphonia persists for a long time. The chief complaints of the patients are hoarseness and too short phonation per breath. In these cases, the glottal closure is incomplete and glottal sounds are not generated, even after the unaffected vocal cord adducts to maximal extent. In order to obtain serviceable voice, surgical adduction of the paralytic vocal cord to produce effective glottal closure should be considered. Various operations, long known, have been designed for this purpose. There are three principles on which these procedures are based: (1) transposition of the arytenoid cartilage of the paralyzed side (reverse King operation of Morrison1); (2) injection of paraffin, silicone, or Teflon into References 1. Morrison, L.F.: The "Reverse King Operation" , Ann Otol 57:944-956, 1948. 2. Brünings, W.: Lehrbudh der Erkrankungen des Ohres und der Luftwege , 589-590, Jena: Gustav Fischer, 1912. 3. Rubin, H.J.: Intracordal Injection of Silicone in Selected Dysphonia , Arch Otolaryng 81:604-607, 1965.Crossref 4. Arnold, G.E.: Further Experiences With Intracordal Injection , Laryngoscope 6:802-815, 1954. 5. Payr,: Plastik am Schildknorpel zur Behebung der Folgen einseitiger Stimmbandlähmung , Deutsch Med Wschr No. (43) , 1915. 6. Meurmann, Y.: Mediofixation der Stimmlippe bei ihrer vollständigen Lähmung , Arch Ohren Nas Kchlkopfheilk 154:296-304, 1944.Crossref 7. Meurmann, Y.: Operative Mediofixation of the Vocal Cord in Complete Unilateral Paralysis , Arch Otolaryng 55:544-553, 1952.Crossref 8. Opheim, O.: Unilateral Paralysis of the Vocal Cord , Acta Otolaryng 45:226-230, 1955.Crossref 9. Isshiki, N.: Classification of Hoarseness , Jap J Logopedics Phoniatrics 7:15-21, 1966.Crossref 10. Sawashima, M.: Measurement of Phonation Time , Jap J Logopedics Phoniatrics 7:23-28, 1966.Crossref

Journal

Archives of OtolaryngologyAmerican Medical Association

Published: Mar 1, 1968

References

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