Issue N# 5 - 2006
PHONIATRICS
Endoscopic medialization with Vox Implant®: Our experience
Authors : Turner F, Duflo S, Michel J, Giovanni A. (Marseille)
Ref. : Rev Laryngol Otol Rhinol. 2006;127,5:339-344.
Article published in french 
Downloadable PDF document french
Summary :
Objective: The purpose of this work is to analyze our preliminary results on the endoscopic vocal cords medialization by Bioplastique. Material and Method: This was a retrospective study on 39 cases of unilateral laryngeal paralysis, treated with the injection of Vox-implant® between May 2004 and August 2006. The evolution of the swallowing disorders was followed by video fluoroscopy. The phoniatric evaluation was based on an auto evaluation questionnaire: Voice Handicap Index 10 (VHI-10). Results: Of the 19 patients who presented with swallowing disorder, 18 gave a normal video fluoroscopy test. In only one case, a second injection, one year later was necessary to completely cure the patient from fluid aspirations. Thirty two patients were satisfied with the post-operative vocal results. The Wilcoxon matched pairs test gave a statistically significant difference between pre and post-operative VHI-10 (p< 0,001). The voice handicap improved approximately 53%. Conclusion: Bioplastic Vox-Implant® profits from a simple injection technique, it is well tolerated and gives a good voice quality. It allows moreover a fast and simple resolution of the problem, can be repeated, and in case of failure or insufficiency a thyroplasty remains possible.
Price : 8.50 €
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