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October 1988

Laryngeal Framework Surgery in the Management of Spastic Dysphonia

Author Affiliations

Winston-Salem, NC

Arch Otolaryngol Head Neck Surg. 1988;114(10):1085. doi:10.1001/archotol.1988.01860220019009

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At the annual meeting of the American Laryngological Association in Palm Beach, Fla, Dr Harvey Tucker, Cleveland, reported a new surgical procedure for the management of spastic dysphonia. The procedure, performed under local anesthesia, consists of relaxing the vocal folds using parasagittal incisions bilaterally in the anterior thyroid cartilage. The medial segment, with the attached anterior commissure tendon, is retrodisplaced, and then the lateral cut ends of the thyroid cartilage are approximated.

Sixteen patients have undergone the procedure, ten (63%) of whom were reported to be free of spasm six months later. Side effects of the procedure are lowering of the fundamental frequency of speech and loss of vocal volume (ie, loudness). No surgical complications were encountered in the cases reported.

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