Nonselective Laryngeal Reinnervation versus Type 1 Thyroplasty in Patients with Unilateral Vocal Fold Paralysis: A Single Tertiary Centre Experience

Azlina Ab Rani, Mawaddah Azman, Muhammad Azhan Ubaidah, Mohd Razif Mohamad Yunus, Abdullah Sani, Marina Mat Baki

Research output: Contribution to journalArticle

Abstract

Objective: This study compared the voice outcomes of selected patients with unilateral vocal fold palsy (UVFP) who underwent either nonselective laryngeal reinnervation (LR) or Type 1 thyroplasty (thyroplasty) in a Malaysian tertiary centre using multidimensional voice assessments. Participants: The study included 16 patients with UVFP who underwent either LR (9 patients) or thyroplasty (7 patients) between 2015 and 2018 who fulfilled the inclusion criteria. Main Outcome Measures: The outcomes were measured subjectively and objectively with: (1) voice handicap index-10 (VHI-10- Malay version); (2) auditory perceptual evaluation using the breathiness component of Grade, Roughness, Breathiness, Asthenia, Strain scale; (3) maximum phonation time (MPT); and (4) acoustic analysis (jitter%, shimmer%, and NHR) using OperaVOXTM. The outcomes were measured at baseline, 6 and 12-months postoperative. The comparison of outcomes between pre and postoperative of each group was evaluated using one-way ANOVA test. Mann-Whitney test was used to compare the outcomes between the two groups. Results: Comparison of each group at different time points showed significant improvement of VHI-10 and MPT of LR group between baseline and 12 months (P ≤ 0.05) whereas, the improvement in thyroplasty group was observed at all time points (P ≤ 0.05). When comparing between the two groups at 12 months, the VHI-10 and MPT was significantly better in the LR group than thyroplasty group with P = 0.004 and P = 0.001 respectively. Other outcome measures did not reveal significant difference between the two groups. Conclusion: This observational study showed that LR may be better than thyroplasty in improving VHI-10 and MPT in selected patients with UVFP.

Original languageEnglish
JournalJournal of Voice
DOIs
Publication statusAccepted/In press - 1 Jan 2019

Fingerprint

Laryngoplasty
Vocal Cords
Paralysis
Phonation
Vocal Cord Paralysis
Outcome Assessment (Health Care)
Asthenia
Acoustics
Observational Studies
Analysis of Variance

Keywords

  • Laryngeal reinnervation
  • Paralysis
  • Thyroplasty
  • Vocal fold

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Speech and Hearing
  • LPN and LVN

Cite this

Nonselective Laryngeal Reinnervation versus Type 1 Thyroplasty in Patients with Unilateral Vocal Fold Paralysis : A Single Tertiary Centre Experience. / Ab Rani, Azlina; Azman, Mawaddah; Ubaidah, Muhammad Azhan; Mohamad Yunus, Mohd Razif; Sani, Abdullah; Mat Baki, Marina.

In: Journal of Voice, 01.01.2019.

Research output: Contribution to journalArticle

Ab Rani, Azlina ; Azman, Mawaddah ; Ubaidah, Muhammad Azhan ; Mohamad Yunus, Mohd Razif ; Sani, Abdullah ; Mat Baki, Marina. / Nonselective Laryngeal Reinnervation versus Type 1 Thyroplasty in Patients with Unilateral Vocal Fold Paralysis : A Single Tertiary Centre Experience. In: Journal of Voice. 2019.
@article{1df6954c317c492cbc99d5de84db6ed8,
title = "Nonselective Laryngeal Reinnervation versus Type 1 Thyroplasty in Patients with Unilateral Vocal Fold Paralysis: A Single Tertiary Centre Experience",
abstract = "Objective: This study compared the voice outcomes of selected patients with unilateral vocal fold palsy (UVFP) who underwent either nonselective laryngeal reinnervation (LR) or Type 1 thyroplasty (thyroplasty) in a Malaysian tertiary centre using multidimensional voice assessments. Participants: The study included 16 patients with UVFP who underwent either LR (9 patients) or thyroplasty (7 patients) between 2015 and 2018 who fulfilled the inclusion criteria. Main Outcome Measures: The outcomes were measured subjectively and objectively with: (1) voice handicap index-10 (VHI-10- Malay version); (2) auditory perceptual evaluation using the breathiness component of Grade, Roughness, Breathiness, Asthenia, Strain scale; (3) maximum phonation time (MPT); and (4) acoustic analysis (jitter{\%}, shimmer{\%}, and NHR) using OperaVOXTM. The outcomes were measured at baseline, 6 and 12-months postoperative. The comparison of outcomes between pre and postoperative of each group was evaluated using one-way ANOVA test. Mann-Whitney test was used to compare the outcomes between the two groups. Results: Comparison of each group at different time points showed significant improvement of VHI-10 and MPT of LR group between baseline and 12 months (P ≤ 0.05) whereas, the improvement in thyroplasty group was observed at all time points (P ≤ 0.05). When comparing between the two groups at 12 months, the VHI-10 and MPT was significantly better in the LR group than thyroplasty group with P = 0.004 and P = 0.001 respectively. Other outcome measures did not reveal significant difference between the two groups. Conclusion: This observational study showed that LR may be better than thyroplasty in improving VHI-10 and MPT in selected patients with UVFP.",
keywords = "Laryngeal reinnervation, Paralysis, Thyroplasty, Vocal fold",
author = "{Ab Rani}, Azlina and Mawaddah Azman and Ubaidah, {Muhammad Azhan} and {Mohamad Yunus}, {Mohd Razif} and Abdullah Sani and {Mat Baki}, Marina",
year = "2019",
month = "1",
day = "1",
doi = "10.1016/j.jvoice.2019.09.017",
language = "English",
journal = "Journal of Voice",
issn = "0892-1997",
publisher = "Mosby Inc.",

}

TY - JOUR

T1 - Nonselective Laryngeal Reinnervation versus Type 1 Thyroplasty in Patients with Unilateral Vocal Fold Paralysis

T2 - A Single Tertiary Centre Experience

AU - Ab Rani, Azlina

AU - Azman, Mawaddah

AU - Ubaidah, Muhammad Azhan

AU - Mohamad Yunus, Mohd Razif

AU - Sani, Abdullah

AU - Mat Baki, Marina

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective: This study compared the voice outcomes of selected patients with unilateral vocal fold palsy (UVFP) who underwent either nonselective laryngeal reinnervation (LR) or Type 1 thyroplasty (thyroplasty) in a Malaysian tertiary centre using multidimensional voice assessments. Participants: The study included 16 patients with UVFP who underwent either LR (9 patients) or thyroplasty (7 patients) between 2015 and 2018 who fulfilled the inclusion criteria. Main Outcome Measures: The outcomes were measured subjectively and objectively with: (1) voice handicap index-10 (VHI-10- Malay version); (2) auditory perceptual evaluation using the breathiness component of Grade, Roughness, Breathiness, Asthenia, Strain scale; (3) maximum phonation time (MPT); and (4) acoustic analysis (jitter%, shimmer%, and NHR) using OperaVOXTM. The outcomes were measured at baseline, 6 and 12-months postoperative. The comparison of outcomes between pre and postoperative of each group was evaluated using one-way ANOVA test. Mann-Whitney test was used to compare the outcomes between the two groups. Results: Comparison of each group at different time points showed significant improvement of VHI-10 and MPT of LR group between baseline and 12 months (P ≤ 0.05) whereas, the improvement in thyroplasty group was observed at all time points (P ≤ 0.05). When comparing between the two groups at 12 months, the VHI-10 and MPT was significantly better in the LR group than thyroplasty group with P = 0.004 and P = 0.001 respectively. Other outcome measures did not reveal significant difference between the two groups. Conclusion: This observational study showed that LR may be better than thyroplasty in improving VHI-10 and MPT in selected patients with UVFP.

AB - Objective: This study compared the voice outcomes of selected patients with unilateral vocal fold palsy (UVFP) who underwent either nonselective laryngeal reinnervation (LR) or Type 1 thyroplasty (thyroplasty) in a Malaysian tertiary centre using multidimensional voice assessments. Participants: The study included 16 patients with UVFP who underwent either LR (9 patients) or thyroplasty (7 patients) between 2015 and 2018 who fulfilled the inclusion criteria. Main Outcome Measures: The outcomes were measured subjectively and objectively with: (1) voice handicap index-10 (VHI-10- Malay version); (2) auditory perceptual evaluation using the breathiness component of Grade, Roughness, Breathiness, Asthenia, Strain scale; (3) maximum phonation time (MPT); and (4) acoustic analysis (jitter%, shimmer%, and NHR) using OperaVOXTM. The outcomes were measured at baseline, 6 and 12-months postoperative. The comparison of outcomes between pre and postoperative of each group was evaluated using one-way ANOVA test. Mann-Whitney test was used to compare the outcomes between the two groups. Results: Comparison of each group at different time points showed significant improvement of VHI-10 and MPT of LR group between baseline and 12 months (P ≤ 0.05) whereas, the improvement in thyroplasty group was observed at all time points (P ≤ 0.05). When comparing between the two groups at 12 months, the VHI-10 and MPT was significantly better in the LR group than thyroplasty group with P = 0.004 and P = 0.001 respectively. Other outcome measures did not reveal significant difference between the two groups. Conclusion: This observational study showed that LR may be better than thyroplasty in improving VHI-10 and MPT in selected patients with UVFP.

KW - Laryngeal reinnervation

KW - Paralysis

KW - Thyroplasty

KW - Vocal fold

UR - http://www.scopus.com/inward/record.url?scp=85075426427&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85075426427&partnerID=8YFLogxK

U2 - 10.1016/j.jvoice.2019.09.017

DO - 10.1016/j.jvoice.2019.09.017

M3 - Article

C2 - 31732294

AN - SCOPUS:85075426427

JO - Journal of Voice

JF - Journal of Voice

SN - 0892-1997

ER -