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A Case of Revision Surgery to Treat Breathy Hoarseness after Type 2 Thyroplasty
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- Yasuda Taisei
- Department of Otolaryngology-Head and Neck Surgery, Nihon University School of Medicine
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- Nakamura Kazuhiro
- Department of Otolaryngology-Head and Neck Surgery, Nihon University School of Medicine
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- Hasegawa Hisashi
- Department of Otolaryngology-Head and Neck Surgery, Nihon University School of Medicine
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- Miura Reo
- Department of Otolaryngology-Head and Neck Surgery, Nihon University School of Medicine
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- Yamada Yuutaro
- Department of Otolaryngology-Head and Neck Surgery, Nihon University School of Medicine
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- Yoshida Marin
- Department of Otolaryngology-Head and Neck Surgery, Nihon University School of Medicine
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- Ikeda Atsuo
- Department of Otolaryngology-Head and Neck Surgery, Nihon University School of Medicine
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- Oshima Takeshi
- Department of Otolaryngology-Head and Neck Surgery, Nihon University School of Medicine
Bibliographic Information
- Other Title
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- 甲状軟骨形成術2型直後に気息性嗄声が生じ再手術を施行した1例
- コウジョウナン コツ ケイセイ ジュツ 2ガタ チョクゴ ニ キソクセイサセイ ガ ショウジ サイシュジュツ オ シコウ シタ 1レイ
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Description
<p>Type 2 thyroplasty (TP2) is a surgery for adductor spasmodic dysphonia (AdSD), and the effectiveness of the surgery depends on the width of cartilage separation and fixation of that width. We experienced a case of breathy hoarseness after initial surgery, and revision surgery was performed and the voice improved. The patient was a 41-year-old woman who was diagnosed with AdSD. To begin, voice therapy was performed, but there was no improvement. Next, TP2 was performed. The thyroid cartilage was split on the midline and two 3.0 mm wide titanium bridges (TBs) were placed on the thyroid cartilage. However, breathy hoarseness appeared after the primary surgery. One month after the first surgery, revision surgery was performed to improve the breathy hoarseness. The two TBs were removed completely, and one 2.0 mm wide TB was placed onto the lower part of the thyroid cartilage. The voice improved to G1R0B1A0S0 and the mora method was 0/21. In TP2, it is important to adjust the width of the cartilage split. If it is too narrow, a spasmodic voice remains, and if it is too wide, the voice becomes breathy. In this case, the voice became breathy after the first surgery, but the revision surgery salvaged the breathy voice. We reconfirmed that TP2 is a reversible surgery and discuss the causes of reoperation and preventive measures.</p>
Journal
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- Nihon Kikan Shokudoka Gakkai Kaiho
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Nihon Kikan Shokudoka Gakkai Kaiho 73 (6), 375-382, 2022-12-10
The Japan Broncho-esophagological Society
