F Granato1, F Martelli1, L V Comini1, P Luparello1, S Coscarelli2, O Le Seac2, S Carucci2, P Graziani3, R Santoro4, G Alderotti5, M R Barillari6, Giuditta Mannelli7. 1. Otorhinolaryngology Clinic, University of Florence, Florence, Italy. 2. Phoniatrics Unit, University Hospital Careggi, Florence, Italy. 3. Head and Neck and Robotic Surgery, Azienda Ospedaliero Universitaria Careggi, 50141, Florence, Italy. 4. Head and Neck and Robotic Surgery, Department of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, CAP 50134, Firenze, Italy. 5. Department of Statistics Science, University "La Sapienza" of Rome, Rome, Italy. 6. Division of Phoniatrics and Audiology, Department of Mental and Physical Health and Preventive Medicine, University of Campania "Luigi Vanvitelli", Naples, Italy. 7. Head and Neck and Robotic Surgery, Department of Experimental and Clinical Medicine, University of Florence, Largo Brambilla 3, CAP 50134, Firenze, Italy. giuditta.mannelli@unifi.it.
Abstract
PURPOSE: The objectives of this meta-analysis were to summarize the key surgical procedures for UVCP and to evaluate which of these is associated with better results in terms of vocal improvement. METHODS: A systematic review of the literature was conducted in search of articles focused on the comparison of voice outcome between different techniques for the UVCP treatment. Then, a quantitative analysis was carried out for papers published from 2013 onwards, reporting only adult patients with unilateral paralysis for each study, and each surgical technique was evaluated for its capability of achieving good functional outcomes in terms of GRBAS-I scale and maximum phonation time in seconds (MPT). RESULTS: The search identified 1853 publications. A total of 159 articles were stratified and included according to our selection criteria. 21 out of 159 articles were selected for quantitative synthesis. For trans-oral techniques: the mean GRBAS-I scale were 2.33 before injection and 0.41 after injection. The mean MPT before injection were 4.78 and 12.50 after injection. For open techniques the mean GRBAS-I scale were 2.43 before surgery and 0.68 after surgery. For open technique, the mean MPT were 3.50 before surgery and 12.40 after surgery. CONCLUSIONS: The two types of techniques lead to an improvement in terms of vocal outcomes emphasizing that from the examined literature an indication emerges to perform an early injection because this could reduce the possible need for a more invasive intervention of permanent medialization in the future.
PURPOSE: The objectives of this meta-analysis were to summarize the key surgical procedures for UVCP and to evaluate which of these is associated with better results in terms of vocal improvement. METHODS: A systematic review of the literature was conducted in search of articles focused on the comparison of voice outcome between different techniques for the UVCP treatment. Then, a quantitative analysis was carried out for papers published from 2013 onwards, reporting only adult patients with unilateral paralysis for each study, and each surgical technique was evaluated for its capability of achieving good functional outcomes in terms of GRBAS-I scale and maximum phonation time in seconds (MPT). RESULTS: The search identified 1853 publications. A total of 159 articles were stratified and included according to our selection criteria. 21 out of 159 articles were selected for quantitative synthesis. For trans-oral techniques: the mean GRBAS-I scale were 2.33 before injection and 0.41 after injection. The mean MPT before injection were 4.78 and 12.50 after injection. For open techniques the mean GRBAS-I scale were 2.43 before surgery and 0.68 after surgery. For open technique, the mean MPT were 3.50 before surgery and 12.40 after surgery. CONCLUSIONS: The two types of techniques lead to an improvement in terms of vocal outcomes emphasizing that from the examined literature an indication emerges to perform an early injection because this could reduce the possible need for a more invasive intervention of permanent medialization in the future.
Authors: G Desuter; M Dedry; B Schaar; J van Lith-Bijl; P P van Benthem; E V Sjögren Journal: Eur Arch Otorhinolaryngol Date: 2017-12-20 Impact factor: 2.503
Authors: Ewelina M Sielska-Badurek; Maria Sobol; Katarzyna Jędra; Anna Rzepakowska; Ewa Osuch-Wójcikiewicz; Kazimierz Niemczyk Journal: Wideochir Inne Tech Maloinwazyjne Date: 2017-07-17 Impact factor: 1.195
Authors: Mette Engan; Merete S Engeset; Lorentz Sandvik; Ole C O Gamlemshaug; Ingvild Ø Engesæter; Knut Øymar; Maria Vollsæter; Ola D Røksund; Karl Ove Hufthammer; Thomas Halvorsen; Hege H Clemm Journal: Front Pediatr Date: 2022-01-03 Impact factor: 3.418