Impact of vocal fold augmentation and laryngoplasty on dyspnea in patients with glottal incompetence

Gregory R. Dion, Mark A. Fritz, Stephanie Erh Shuen Teng, Sonya Marcus, Yixin Fang, Ryan C. Branski, Milan R. Amin

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objectives/Hypothesis: Given that the vocal folds are active organs of respiration, reports of dyspnea in the context of glottic insufficiency are not uncommon. We hypothesize that improved glottal closure via framework surgery or vocal fold augmentation improves dyspnea symptoms. Study Design: Retrospective review. Methods: Charts of patients undergoing procedures to correct glottal insufficiency, either via vocal fold augmentation (VFA) or medialization laryngoplasty (ML) between December 2012 and September 2015 were reviewed (n = 189). Modified Borg Dyspnea Scale (MBDS) and Modified Medical Research Council Dyspnea Scale (MMRCDS) data were collected before and after intervention. Age, body mass index (BMI), and sex, as well as pulmonary and cardiac comorbidities were considered. Subgroup analysis was performed on individuals with subjective dyspnea prior to intervention. Results: For the entire cohort, differences in the MMRCDS and MBDS were not statistically different pre- and postintervention (P =.20 and P =.12, respectively). Patients with BMI <30 experienced more improvement on the MBDS (P =.03). Both the MMRCDS and MMBDS improved post-procedure (P =.001 and P =.001, respectively) in patients reporting dyspnea prior to intervention. Conclusions: Patients with glottic insufficiency and dyspnea prior to intervention to improve glottic closure had a significant reduction in dyspnea following treatment. Conversely, subjects without complaints of dyspnea prior to intervention had variable outcomes with regard to dyspnea symptoms. Additionally, based on data from the entire cohort, VFA or ML did not worsen dyspnea symptoms. These data may assist in counseling and/or selection of patients considered for procedures to improve glottic closure. Level of Evidence: 4. Laryngoscope, 128:427–429, 2018.

Original languageEnglish (US)
Pages (from-to)427-429
Number of pages3
JournalLaryngoscope
Volume128
Issue number2
DOIs
StatePublished - Feb 1 2018
Externally publishedYes

Fingerprint

Laryngoplasty
Vocal Cords
Dyspnea
Tongue
Biomedical Research
Body Mass Index
Laryngoscopes

Keywords

  • Dyspnea
  • medialization laryngoplasty
  • type I thyroplasty
  • vocal fold
  • vocal fold augmentation
  • vocal fold paralysis
  • voice

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Dion, G. R., Fritz, M. A., Teng, S. E. S., Marcus, S., Fang, Y., Branski, R. C., & Amin, M. R. (2018). Impact of vocal fold augmentation and laryngoplasty on dyspnea in patients with glottal incompetence. Laryngoscope, 128(2), 427-429. https://doi.org/10.1002/lary.26850

Impact of vocal fold augmentation and laryngoplasty on dyspnea in patients with glottal incompetence. / Dion, Gregory R.; Fritz, Mark A.; Teng, Stephanie Erh Shuen; Marcus, Sonya; Fang, Yixin; Branski, Ryan C.; Amin, Milan R.

In: Laryngoscope, Vol. 128, No. 2, 01.02.2018, p. 427-429.

Research output: Contribution to journalArticle

Dion, GR, Fritz, MA, Teng, SES, Marcus, S, Fang, Y, Branski, RC & Amin, MR 2018, 'Impact of vocal fold augmentation and laryngoplasty on dyspnea in patients with glottal incompetence', Laryngoscope, vol. 128, no. 2, pp. 427-429. https://doi.org/10.1002/lary.26850
Dion, Gregory R. ; Fritz, Mark A. ; Teng, Stephanie Erh Shuen ; Marcus, Sonya ; Fang, Yixin ; Branski, Ryan C. ; Amin, Milan R. / Impact of vocal fold augmentation and laryngoplasty on dyspnea in patients with glottal incompetence. In: Laryngoscope. 2018 ; Vol. 128, No. 2. pp. 427-429.
@article{b50d6a442a3f4bb29e5263faf7dc51da,
title = "Impact of vocal fold augmentation and laryngoplasty on dyspnea in patients with glottal incompetence",
abstract = "Objectives/Hypothesis: Given that the vocal folds are active organs of respiration, reports of dyspnea in the context of glottic insufficiency are not uncommon. We hypothesize that improved glottal closure via framework surgery or vocal fold augmentation improves dyspnea symptoms. Study Design: Retrospective review. Methods: Charts of patients undergoing procedures to correct glottal insufficiency, either via vocal fold augmentation (VFA) or medialization laryngoplasty (ML) between December 2012 and September 2015 were reviewed (n = 189). Modified Borg Dyspnea Scale (MBDS) and Modified Medical Research Council Dyspnea Scale (MMRCDS) data were collected before and after intervention. Age, body mass index (BMI), and sex, as well as pulmonary and cardiac comorbidities were considered. Subgroup analysis was performed on individuals with subjective dyspnea prior to intervention. Results: For the entire cohort, differences in the MMRCDS and MBDS were not statistically different pre- and postintervention (P =.20 and P =.12, respectively). Patients with BMI <30 experienced more improvement on the MBDS (P =.03). Both the MMRCDS and MMBDS improved post-procedure (P =.001 and P =.001, respectively) in patients reporting dyspnea prior to intervention. Conclusions: Patients with glottic insufficiency and dyspnea prior to intervention to improve glottic closure had a significant reduction in dyspnea following treatment. Conversely, subjects without complaints of dyspnea prior to intervention had variable outcomes with regard to dyspnea symptoms. Additionally, based on data from the entire cohort, VFA or ML did not worsen dyspnea symptoms. These data may assist in counseling and/or selection of patients considered for procedures to improve glottic closure. Level of Evidence: 4. Laryngoscope, 128:427–429, 2018.",
keywords = "Dyspnea, medialization laryngoplasty, type I thyroplasty, vocal fold, vocal fold augmentation, vocal fold paralysis, voice",
author = "Dion, {Gregory R.} and Fritz, {Mark A.} and Teng, {Stephanie Erh Shuen} and Sonya Marcus and Yixin Fang and Branski, {Ryan C.} and Amin, {Milan R.}",
year = "2018",
month = "2",
day = "1",
doi = "10.1002/lary.26850",
language = "English (US)",
volume = "128",
pages = "427--429",
journal = "Laryngoscope",
issn = "0023-852X",
publisher = "Wiley-Blackwell",
number = "2",

}

TY - JOUR

T1 - Impact of vocal fold augmentation and laryngoplasty on dyspnea in patients with glottal incompetence

AU - Dion, Gregory R.

AU - Fritz, Mark A.

AU - Teng, Stephanie Erh Shuen

AU - Marcus, Sonya

AU - Fang, Yixin

AU - Branski, Ryan C.

AU - Amin, Milan R.

PY - 2018/2/1

Y1 - 2018/2/1

N2 - Objectives/Hypothesis: Given that the vocal folds are active organs of respiration, reports of dyspnea in the context of glottic insufficiency are not uncommon. We hypothesize that improved glottal closure via framework surgery or vocal fold augmentation improves dyspnea symptoms. Study Design: Retrospective review. Methods: Charts of patients undergoing procedures to correct glottal insufficiency, either via vocal fold augmentation (VFA) or medialization laryngoplasty (ML) between December 2012 and September 2015 were reviewed (n = 189). Modified Borg Dyspnea Scale (MBDS) and Modified Medical Research Council Dyspnea Scale (MMRCDS) data were collected before and after intervention. Age, body mass index (BMI), and sex, as well as pulmonary and cardiac comorbidities were considered. Subgroup analysis was performed on individuals with subjective dyspnea prior to intervention. Results: For the entire cohort, differences in the MMRCDS and MBDS were not statistically different pre- and postintervention (P =.20 and P =.12, respectively). Patients with BMI <30 experienced more improvement on the MBDS (P =.03). Both the MMRCDS and MMBDS improved post-procedure (P =.001 and P =.001, respectively) in patients reporting dyspnea prior to intervention. Conclusions: Patients with glottic insufficiency and dyspnea prior to intervention to improve glottic closure had a significant reduction in dyspnea following treatment. Conversely, subjects without complaints of dyspnea prior to intervention had variable outcomes with regard to dyspnea symptoms. Additionally, based on data from the entire cohort, VFA or ML did not worsen dyspnea symptoms. These data may assist in counseling and/or selection of patients considered for procedures to improve glottic closure. Level of Evidence: 4. Laryngoscope, 128:427–429, 2018.

AB - Objectives/Hypothesis: Given that the vocal folds are active organs of respiration, reports of dyspnea in the context of glottic insufficiency are not uncommon. We hypothesize that improved glottal closure via framework surgery or vocal fold augmentation improves dyspnea symptoms. Study Design: Retrospective review. Methods: Charts of patients undergoing procedures to correct glottal insufficiency, either via vocal fold augmentation (VFA) or medialization laryngoplasty (ML) between December 2012 and September 2015 were reviewed (n = 189). Modified Borg Dyspnea Scale (MBDS) and Modified Medical Research Council Dyspnea Scale (MMRCDS) data were collected before and after intervention. Age, body mass index (BMI), and sex, as well as pulmonary and cardiac comorbidities were considered. Subgroup analysis was performed on individuals with subjective dyspnea prior to intervention. Results: For the entire cohort, differences in the MMRCDS and MBDS were not statistically different pre- and postintervention (P =.20 and P =.12, respectively). Patients with BMI <30 experienced more improvement on the MBDS (P =.03). Both the MMRCDS and MMBDS improved post-procedure (P =.001 and P =.001, respectively) in patients reporting dyspnea prior to intervention. Conclusions: Patients with glottic insufficiency and dyspnea prior to intervention to improve glottic closure had a significant reduction in dyspnea following treatment. Conversely, subjects without complaints of dyspnea prior to intervention had variable outcomes with regard to dyspnea symptoms. Additionally, based on data from the entire cohort, VFA or ML did not worsen dyspnea symptoms. These data may assist in counseling and/or selection of patients considered for procedures to improve glottic closure. Level of Evidence: 4. Laryngoscope, 128:427–429, 2018.

KW - Dyspnea

KW - medialization laryngoplasty

KW - type I thyroplasty

KW - vocal fold

KW - vocal fold augmentation

KW - vocal fold paralysis

KW - voice

UR - http://www.scopus.com/inward/record.url?scp=85030330993&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85030330993&partnerID=8YFLogxK

U2 - 10.1002/lary.26850

DO - 10.1002/lary.26850

M3 - Article

C2 - 28940470

AN - SCOPUS:85030330993

VL - 128

SP - 427

EP - 429

JO - Laryngoscope

JF - Laryngoscope

SN - 0023-852X

IS - 2

ER -