Document Detail


Thyroplasty type I under general anaesthesia with the use of the laryngeal mask and a waking period to assess voice.
MedLine Citation:
PMID:  19883983     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Eleanor Sproson; Jeremy Nightingale; Roberto Puxeddu
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-11-01
Journal Detail:
Title:  Auris, nasus, larynx     Volume:  37     ISSN:  1879-1476     ISO Abbreviation:  Auris Nasus Larynx     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-03-19     Completed Date:  2010-06-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7708170     Medline TA:  Auris Nasus Larynx     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  357-60     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2009 Elsevier Ireland Ltd. All rights reserved.
Affiliation:
Department of ENT, Queen Alexandra Hospital, Portsmouth, United Kingdom. e.sproson@doctors.org.uk
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MeSH Terms
Descriptor/Qualifier:
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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