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The loss of voice and of normal and efficient verbal communication is a negative consequence associated with this type of surgery and can have significant impacts on the quality of life of these individuals. [20] [21] Voice rehabilitation is an important component of the recovery process following the surgery. Technological and scientific ...
The first line of treatment is surgery to remove papillomas. [7] [10] Typically performed using a laryngeal endoscopy, surgery can protect intact tissues and the individual's voice, as well as ensure that the airway remains unobstructed by the disease. [2] However, surgery does not prevent recurrences, and can lead to a number of serious ...
For more severe subglottic stenoses, Gerwat and Bryce (1974) described the first cricotracheal resection with preservation of the recurrent laryngeal nerves. [12] Pearson and Gullane would later report their success using this procedure over the ensuing 22 years in 80 consecutive adults with benign subglottic stenosis . [ 13 ]
The recurrent laryngeal nerves may be injured as a result of trauma, during surgery, as a result of tumour spread, or due to other means. [ 16 ] : 12 Injury to the recurrent laryngeal nerves can result in a weakened voice ( hoarseness ) or loss of voice ( aphonia ) and cause problems in the respiratory tract .
Laryngotracheal stenosis is an umbrella term for a wide and heterogeneous group of very rare conditions. The population incidence of adult post-intubation laryngotracheal stenosis which is the commonest benign sub-type of this condition is approximately 1 in 200,000 adults per year. [10]
These conditions result from continuous damage to the laryngeal nerves [4] [3] and often lead to vocal disability. [6] Recurrent laryngeal nerve damage is the most common cause of vocal fold paresis. [4] The RLN is responsible for motor input to the vocal folds. [4] Physicians may also use the term recurrent laryngeal nerve paralysis. [19]
During surgery, attempts are made to preserve as much vocal fold tissue as possible, [3] given that glottal insufficiency (a gap in the vocal folds) is a possible consequence of surgery. [15] Vocal fold tissue can be preserved during surgery by raising a micro-flap, removing the cyst, then laying the flap back down. [ 15 ]
The procedure was first described in 1805 by Félix Vicq-d'Azyr, a French surgeon and anatomist. [3] A cricothyrotomy is generally performed by making a vertical incision on the skin of the throat just below the laryngeal prominence (Adam's apple), then making a horizontal incision in the cricothyroid membrane which lies deep to this point.