Publication: Complications and Revisions for Adduction Arytenopexy, Medialization Laryngoplasty, and Cricothyroid Subluxation over 19 Years
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Issued Date
2024-01-01
Resource Type
ISSN
08921997
eISSN
18734588
Scopus ID
2-s2.0-85204888292
Journal Title
Journal of Voice
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Voice (2024)
Suggested Citation
Celebi O.O., Song S.A., Santeerapharp A., Choksawad K., Franco R.A. Complications and Revisions for Adduction Arytenopexy, Medialization Laryngoplasty, and Cricothyroid Subluxation over 19 Years. Journal of Voice (2024). doi:10.1016/j.jvoice.2024.05.006 Retrieved from: https://hdl.handle.net/20.500.14740/20924
Corresponding Author(s)
Other Contributor(s)
Abstract
Objective: To report the long-term data of the Triple procedure (medialization laryngoplasty, adduction arytenopexy, and cricothyroid subluxation) regarding complications and revisions in a large cohort of patients. Study design: Retrospective case series. Methods: This study included patients who underwent ≥1 components of the Triple procedure between January 2000 and July 2019. Demographic data, etiology of paralysis, duration of follow-up, complications, revision surgeries, and touch-up injections were noted from retrospective chart review. Results: Of the 222 patients who underwent ≥1 of the Triple procedure components, 86 underwent medialization laryngoplasty alone and were excluded from the study. The remaining 136 underwent ≥1 components of the Triple procedure other than medialization laryngoplasty alone. The overall surgical complication rate was 7.3% (10/136) and no intraoperative complications were noted. Of the 10 complications, four were implant extrusions, four were hematoma, and two were rupture of the arytenoid fixation suture. In all, 20 of the 136 cases subsequently required revision surgery (14.7%) at a mean of 57.3 months after the initial surgery. Conclusion: The present findings show that the Triple procedure, or its subcomponents, can be performed with few complications and acceptable revision rates.
