Comparison of Short and Long-Term Results after Injection Laryngoplasty with Radiesse® Voice and Thyroplasty Type I in Unilateral Vocal Fold Palsy

Smatanová, Katarína; Burián, András; Dršata, Jakub; Krtičková, Jana; Kőnig-Péter, Anikó; Mejzlík, Jan; Chrobok, Viktor

doi:10.14712/18059694.2024.2

Acta Medica > Archive > 2023, Vol. 66 > Issue 3 > Comparison of Short and Long-Term…

Acta Med. 2023, 66: 107-111

https://doi.org/10.14712/18059694.2024.2

Comparison of Short and Long-Term Results after Injection Laryngoplasty with Radiesse® Voice and Thyroplasty Type I in Unilateral Vocal Fold Palsy

Katarína Smatanová^a,b, András Burián^c, Jakub Dršata^a, Jana Krtičková^a, Anikó Kőnig-Péter^d, Jan Mejzlík^a, Viktor Chrobok^a

^aDepartment of Otorhinolaryngology and Head and Neck Surgery, University Hospital Hradec Králové, Charles University, Faculty of Medicine in Hradec Králové, Czech Republic
^bDepartment of Paediatric Otolaryngology, University of Pécs, Clinical Centre, Hungary
^cDepartment of Otolaryngology and Head and Neck Surgery, University of Pécs, Clinical Centre, Hungary
^dUniversity of Pécs, Faculty of Medicine, Department of Bioanalysis, Hungary

Received September 27, 2023
Accepted January 7, 2024

Objectives: Unilateral vocal fold palsy independently of etiology results in glottic insufficiency leading to unfavorable short or long-term impact on voice quality. Our aim was to evaluate the effect of injection laryngoplasty using Radiesse® Voice and thyroplasty type I on glottic closure, voice quality and aerodynamics by comparing preoperative, short- and long-term results. Materials and Methods: Data of 32 consent patients were reviewed between 2012 and 2023. All patients underwent either injection laryngoplasty (14 patients) or thyroplasty type I (18 patients) under local anesthesia. Maximum phonation time, glottic closure based on videolaryngostroboscopy, VHI-30 values and GRBAS scale were recorded prior, short-term (3 month) and long-term (12 months) after procedures for statistical comparison. Friedman test, Mann-Whitney test and Wilcoxon signed rank tests were used for statistical analysis. Results: In injection laryngoplasty group, we found significant improvement in maximum phonation time (p = 0.002), grade of hoarseness (p = 0.002) and breathiness (p = 0.000) when comparing results before and short-term after procedure. In thyroplasty type I group we saw significant improvement of maximum phonation time (p = 0.000), glottic insufficiency (p = 0.000), all three VHI-30 components (p = 0.000), as well as grade of hoarseness, breathiness (both p = 0.000) and roughness (p = 0.011) of GRBAS scale when comparing voice outcome before and short-term after procedure. There was no significant difference in voice outcome results neither between short and long-term results nor between the two groups in any parameter. Conclusion: These results demonstrate both short and long-term efficiency of injection laryngoplasty and thyroplasty type I in the improvement of voice quality and glottic closure.