Complications and Revisions for Adduction Arytenopexy, Medialization Laryngoplasty, and Cricothyroid Subluxation over 19 Years
Journal of Voice, cilt.40, sa.5, ss.1501-1507, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 40 Sayı: 5
- Basım Tarihi: 2026
- Doi Numarası: 10.1016/j.jvoice.2024.05.006
- Dergi Adı: Journal of Voice
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Periodicals Index Online, CINAHL, Communication Abstracts, EMBASE, International Bibliography of Theatre & Dance (IBTD), MEDLINE, Music Index, Music Periodicals Database, EBSCO Communication Source, Communication Source (EBSCO), Health Research Premium Collection (ProQuest), Music & Performing Arts Collection (ProQuest)
- Sayfa Sayıları: ss.1501-1507
- Anahtar Kelimeler: Triple, Thyroplasty, Laryngoplasty, Adduction arytenopexy, Cricothyroid subluxation, Vocal fold paralysis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
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 57.3months 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.