| Thyroplasty type I under general anaesthesia with the use of the laryngeal mask and a waking period to assess voice. | |
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MedLine Citation:
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PMID: 19883983 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate a modified technique of type I thyroplasty using general anaesthetic with a laryngeal mask and then local anaesthetic. METHODS: General anaesthesia with a laryngeal mask is used while the delicate marking and windowing of the thyroid cartilage occurs. The patient is then woken, so that vocalisation can be associated to direct visualization with flexible scope to determine the size of prosthesis used to optimise vocal outcome. RESULTS: This modified technique was used in three patients where sedation would be unacceptable. All patients exhibited an improved voice post operatively. The mean maximum phonation time rose to 9.6, 10.6 and 9.3s from 4.3, 4.6 and 5.3s. CONCLUSION: Using sedation for type I thyroplasty is not safe or acceptable in some patient groups. Using general anaesthetic with a laryngeal mask and then a shorter local anaesthetic provides a safe and effective alternative. |
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Authors:
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Eleanor Sproson; Jeremy Nightingale; Roberto Puxeddu |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-11-01 |
Journal Detail:
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Title: Auris, nasus, larynx Volume: 37 ISSN: 1879-1476 ISO Abbreviation: Auris Nasus Larynx Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-03-19 Completed Date: 2010-06-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7708170 Medline TA: Auris Nasus Larynx Country: Netherlands |
Other Details:
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Languages: eng Pagination: 357-60 Citation Subset: IM |
Copyright Information:
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Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of ENT, Queen Alexandra Hospital, Portsmouth, United Kingdom. e.sproson@doctors.org.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anesthesia, Inhalation* Female Hoarseness Humans Intubation, Intratracheal Laryngeal Masks* Otorhinolaryngologic Surgical Procedures / instrumentation*, standards* Postoperative Period Thyroid Gland / surgery* Treatment Outcome Voice Disorders / diagnosis*, physiopathology* Voice Quality / physiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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