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Volume 8 Otolaryngology: Open Access ENT Conference 2018
May 14-15, 2018
Ear, Nose and Throat Disorders
May 14-15, 2018 Osaka, Japan
2nd International Conference on
Short Term Management of Vocal Fold Paralysis
Matthew S Broadhurst
MBBS, FRACS(ENT), Laryngology, Sleep Medicine, Australia
Vocal cord paralysis is commonly encountered by ENT surgeons. The standard management usually involves waiting
for 6-12 months to assess for recovery or reinnervation. During this time, the patient usually experiences poor quality
voice, ineffective cough, and aspiration which may result in pneumonia. Management of these patients includes a search for
the aetiology and often requires speech therapy. In addition to this, a reversible, office-based early injection laryngoplasty can
minimize the patient morbidity of impaired vocal fold mobility while maximizing glottal function and improving phonatory
quality.
Methods: A retrospective study was conducted on consecutive patients with unilateral vocal cord paralysis. Voice handicap
index, basic and aerodynamic/acoustic data were collected at the initial assessment and following intervention. Intervention
consisted of an office-based, unsedated, paraglottic injection of hyaluronic acid to the effected side. All patients underwent
videostroboscopy before, during and after office intervention and subjective assessment of these recordings was made. Patients
also completed the voice related quality of life.
Results: All 185 patients tolerated office-based injection well with no adverse events. All patients experienced an improvement
in glottal competency and this was reflected in the aerodynamic and acoustic data. Analysis of videostroboscopy before and
after showed a similar outcome, as did patient questionnaire data.
Discussion: Office-based, unsedated paraglottic injection of hyaluronic acid is a safe and effective treatment option in the short
term management of impaired vocal fold mobility. It improves glottal competency and vocal function while minimizing the
risks associated with impaired vocal fold mobility. It allows rapid return to work/social functioning compared to the wait and
see approach.
Biography
Dr Matthew Broadhurst is a fellowship trained laryngeal and upper airway surgeon specialising in laryngeal surgery, voice restoration and obstructive sleep
apnoea. He returned to Brisbane, Australia from Boston, Massachusetts in 2007 having worked for 2 years at Harvard Medical School and Massachusetts General
Hospital. He was the first fellowship trained laryngeal surgeon in Australia and now has a large tertiary referral practice in voice and larynx disorders and sleep
apnoea. In his practice, he utilises state of the art techniques in surgery to the airway and is actively involved in clinical research and education both nationally
and internationally. His areas of special interest and research include KTP laser for dysplasia and glottic cancer, short and long term management of vocal fold
paralysis, phonotraumatic lesions in professional voice users and laryngeal papilloma.
Matthew S Broadhurst, Otolaryngol (Sunnyvale) 2018, Volume 8
DOI: 10.4172/2161-119X-C1-025