Evaluation of thyroplasty with cartilage implant in young children.

Fayoux, Pierre; Maltezeanu, Alix; Lemesre, Pierre-Emmanuel; Broucqsault, Hélène

Document type :

Article dans une revue scientifique: Article original

DOI :

10.1016/j.ijporl.2023.111488

PMID :

36878165

Permalink :

http://hdl.handle.net/20.500.12210/89843

Title :

Evaluation of thyroplasty with cartilage implant in young children.

Author(s) :

Fayoux, Pierre [Auteur]

Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694
Maltezeanu, Alix [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Lemesre, Pierre-Emmanuel [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]
Broucqsault, Hélène [Auteur]
Centre Hospitalier Régional Universitaire [CHU Lille] [CHRU Lille]

Journal title :

International Journal of Pediatric Otorhinolaryngology

Abbreviated title :

Int J Pediatr Otorhinolaryngol

Volume number :

167

Pages :

111488

Publication date :

2023-03-15

ISSN :

1872-8464

English keyword(s) :

Pediatric
Medialization
Thyroplasty
Vocal cord paralysis

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Objective To evaluate thyroplasty with autologous cartilage implant in young children. Methods This retrospective study included all patients aged <10 years who underwent thyroplasty, in a tertiary care center, ...
Show more >Objective To evaluate thyroplasty with autologous cartilage implant in young children. Methods This retrospective study included all patients aged <10 years who underwent thyroplasty, in a tertiary care center, between 1999 and 2019 and had a postoperative follow-up at least one year later. Morphological evaluation was based on fiberoptic laryngoscopy and laryngeal ultrasound. Functional outcomes included parental evaluation of laryngeal signs by visual analogue scale and dysphonia ratings on the Grade, Roughness, Breathiness, Asthenia, and Strain scale. These assessments were performed at postoperative months 1, 6, and 12, and then annually. Results Participants were 11 patients with a median age of 26 months (8–115 months). Their median duration of progression of paralysis before surgical management was 17 months. No intra or postoperative complications were observed. Postoperative evaluation showed virtual disappearance of aspiration and chronic congestion. Voice evaluation revealed significant improvements in all patients. The long-term trend, over a median of 77 months, showed stable results in 10 cases. One patient had late-onset deterioration requiring an additional vocal fold injection. Ultrasound follow-up showed no resorption of the cartilage implant and no deformation of the thyroid ala. Conclusion Pediatric thyroplasty requires technical adaptations. Use of a cartilage implant allows observation of medialization stability during the growth. These findings are particularly relevant of contraindication or failure of nonselective reinnervation.Show less >

Language :

Anglais

Audience :

Internationale

Popular science :

Non

Administrative institution(s) :

Université de Lille
CHU Lille

Collections :

METRICS : Evaluation des technologies de santé et des pratiques médicales - ULR 2694

Submission date :

2023-11-15T02:22:51Z
2024-04-12T12:50:01Z

Version	Link	Modification date
2	20.500.12210/89843*	2024-04-12T12:48:15Z
1	20.500.12210/89843.1	2023-11-15T02:22:51Z

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Evaluation of thyroplasty with cartilage ...

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