An Island Flap Technique for Laryngeal Intracordal Mucous Retention Cysts | ||
| Iranian Journal of Otorhinolaryngology | ||
| مقاله 2، دوره 27، شماره 5، آذر 2015، صفحه 337-342 اصل مقاله (253.06 K) | ||
| نوع مقاله: Original | ||
| شناسه دیجیتال (DOI): 10.22038/ijorl.2015.4781 | ||
| نویسندگان | ||
| Farzad Izadi1؛ Hadi Ghanbari* 1؛ Sahar Zahedi1؛ Behzad Pousti1؛ Mojtaba Maleki Delarestaghi1؛ Abolfazl Salehi2 | ||
| 1Department of Otorhinolaryngology, Rasoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran. | ||
| 2Department of Speech Therapy, University of Social welfare and rehabilitation Sciences, Tehran, Iran. | ||
| چکیده | ||
| Introduction: Mucous retention cysts are a subtype of intracordal vocal cysts that may occur spontaneously or may be associated with poor vocal hygiene, and which require optimal treatment. The objective of this study was to present a new laser-assisted microsurgery technique for treating intracordal mucous retention cysts and to describe the final outcomes. Materials and Methods: In this prospective study, we assessed the pre-operative and post-operative acoustic analysis, maximum phonation time (MPT), and voice handicap index (VHI) of four patients with a diagnosis of mucous retention cyst. The island flap technique was applied to all patients without any complications. In this procedure, we favored the super-pulse mode using a 2-W power CO2 laser to remove the medial wall of the cyst, before clearing away the lateral wall margins of the cyst using repeat-pulse mode and a 2-W power CO2 laser. Indeed, we maintained the underlying epithelium and lamina propria, including the island flap attached to the vocal ligament. Results: There was a statistically significant improvement in the MPT (pre-op,11.05 s; post-op,15.85 s; P=0.002) and the VHI (pre-operative, 72/120; post-operative,27/120; P=0.001) in all patients. Moreover, jitter and shimmer were refined after surgery, but there was no statistically significant relationship between pre-operative and post-operative data (P=0.071) (P=0.622). In the follow-up period (median, 150 days), there was no report of recurrence or mucosal stiffness. Conclusion: The island flap procedure in association with CO2 laser microsurgery appears to be a safe and effective treatment option for intracordal mucous retention cysts, but needs further investigation to allow comparison with other methods. | ||
| کلیدواژهها | ||
| CO2 laser؛ Island flap؛ Mucous Retention Cyst؛ Voice analysis | ||
| مراجع | ||
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