Bipedicled Vocal Fold Mucosal Flap Use in Phonomicrosurgery: Case Series

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorTSUJI, Domingos Hiroshi
dc.contributor.authorKINCHOKU, Vanessa Mika
dc.contributor.authorIMAMURA, Rui
dc.contributor.authorHACHIYA, Adriana
dc.contributor.authorYAMASAKI, Rosiane
dc.contributor.authorMARINHO, Guilherme Rodrigues
dc.contributor.authorSENNES, Luiz Ubirajara
dc.date.accessioned2021-10-20T14:00:45Z
dc.date.available2021-10-20T14:00:45Z
dc.date.issued2021
dc.description.abstractObjectives. The objective of this study was to present a novel surgical technique involving the use of a ""bipedicled vocal fold mucosal flap"" to repair a mucosal defect and to evaluate the outcomes of patients in whom it was used. Material and methods. This was a retrospective study of 6 clinical cases. All patients underwent surgery between November 2000 and July 2018, and all procedures were performed by the same surgeon. For the auditory-perceptual assessment, the Grade-Roughness-Breathiness-Asthenia-Strain hoarseness scale was used. We based the stroboscopic evaluation on the European Laryngological Society protocol, analyzing the parameters glottal closure, mucosal wave, and phase symmetry. Results. Ages at the time of surgery ranged from 10 to 52 years, and all of the patients were male. Preexisting vocal fold lesions included polyps, cysts, a sulcus, and mucosal bridges. Among the stroboscopic parameters, only the mucosal wave differed significantly between the preoperative and postoperative periods (P = 0.046). There were also significant postoperative improvements in the overall grade of dysphonia (P = 0.025) and in the degree of breathiness (P = 0.025). Conclusions. The use of a bipedicled vocal fold mucosal flap appears to promote significant improvements in the mucosal wave and in voice quality. In the patients evaluated here, the technique was used without preoperative planning. However, it proved to be a safe and appropriate means of repairing mucosal defects in the vocal folds, with the potential to preserve rheological properties and promote healing with less chance of fibrosis.eng
dc.description.indexMEDLINEeng
dc.identifier.citationJOURNAL OF VOICE, v.35, n.5, p.793-799, 2021
dc.identifier.doi10.1016/j.jvoice.2020.01.009
dc.identifier.eissn1873-4588
dc.identifier.issn0892-1997
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/42287
dc.language.isoeng
dc.publisherMOSBY-ELSEVIEReng
dc.relation.ispartofJournal of Voice
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright MOSBY-ELSEVIEReng
dc.subjectSurgical flapeng
dc.subjectBipedicled mucosal flapeng
dc.subjectSurgery techniqueeng
dc.subjectPhonomicrosurgeryeng
dc.subjectDysphoniaeng
dc.subject.wosAudiology & Speech-Language Pathologyeng
dc.subject.wosOtorhinolaryngologyeng
dc.titleBipedicled Vocal Fold Mucosal Flap Use in Phonomicrosurgery: Case Serieseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalYAMASAKI, Rosiane:Univ Sao Paulo, Sch Med, Hosp Clin, Dept Otolaryngol, Sao Paulo, Brazil
hcfmusp.citation.scopus3
hcfmusp.contributor.author-fmusphcDOMINGOS HIROSHI TSUJI
hcfmusp.contributor.author-fmusphcVANESSA MIKA KINCHOKU
hcfmusp.contributor.author-fmusphcRUI IMAMURA
hcfmusp.contributor.author-fmusphcADRIANA HACHIYA
hcfmusp.contributor.author-fmusphcGUILHERME RODRIGUES MARINHO
hcfmusp.contributor.author-fmusphcLUIZ UBIRAJARA SENNES
hcfmusp.description.beginpage793
hcfmusp.description.endpage799
hcfmusp.description.issue5
hcfmusp.description.volume35
hcfmusp.origemWOS
hcfmusp.origem.pubmed32327357
hcfmusp.origem.scopus2-s2.0-85083340865
hcfmusp.origem.wosWOS:000697033000016
hcfmusp.publisher.cityNEW YORKeng
hcfmusp.publisher.countryUSAeng
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hcfmusp.scopus.lastupdate2024-05-10
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