PMID- 38352015
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240215
IS  - 2666-2507 (Electronic)
IS  - 2666-2507 (Linking)
VI  - 23
DP  - 2024 Feb
TI  - A novel technique of voice-sparing cricotracheal resection.
PG  - 161-169
LID - 10.1016/j.xjtc.2023.11.005 [doi]
AB  - BACKGROUND: Cricotracheal resection (CTR) is considered the standard of care for 
      patients suffering from idiopathic subglottic stenosis (iSGS). Although CTR 
      results in permanent restoration of airway patency, it has a mild to moderate 
      impact on voice quality. Here we propose modifications of the standard CTR 
      technique to make it a voice-preserving procedure. METHODS: Five women with iSGS 
      underwent voice-sparing CTR between January 2022 and January 2023. In this 
      procedure, through several technical adaptations, the function of the 
      cricothyroid joint was preserved. Outcomes of these voice-sparing CTRs were 
      compared to outcomes in patients who underwent standard CTR in our institution. 
      All patients underwent full functional preoperative and postoperative workups, 
      including spirometry, voice measurements, patient self-assessment, and fiberoptic 
      endoscopic evaluation of swallowing. RESULTS: All 5 patients in the study group 
      suffered from iSGS with high-grade Myer-Cotton III degrees  stenosis (100%); 1 patient 
      had previously undergone endoscopic laser resection. Voice evaluation 
      demonstrated a nearly unchanged fundamental pitch (mean preoperative, 
      191 +/- 73.1 Hz; postoperative, 182 +/- 64.2 Hz) and dynamic voice range 
      (preoperative, 24.4 semitones; postoperative, 20.4 semitones). This was in 
      contrast to the control group, in which significantly reduced voice quality was 
      observed. CONCLUSIONS: In selected patients suffering from iSGS, excellent 
      functional results can be obtained with voice-sparing CTR.
CI  - (c) 2023 The Author(s).
FAU - Evermann, Matthias
AU  - Evermann M
AD  - Department of Thoracic Surgery, Medical University of Vienna, Vienna, Austria.
FAU - Roesner, Imme
AU  - Roesner I
AD  - Division of Phoniatrics and Logopedics, Department of Otorhinolaryngology, 
      Medical University of Vienna, Vienna, Austria.
FAU - Kranebitter, Veronika
AU  - Kranebitter V
AD  - Division of Phoniatrics and Logopedics, Department of Otorhinolaryngology, 
      Medical University of Vienna, Vienna, Austria.
FAU - Denk-Linnert, Doris-Maria
AU  - Denk-Linnert DM
AD  - Division of Phoniatrics and Logopedics, Department of Otorhinolaryngology, 
      Medical University of Vienna, Vienna, Austria.
FAU - Bauer, Johanna
AU  - Bauer J
AD  - Department of Thoracic Surgery, Medical University of Vienna, Vienna, Austria.
FAU - Schweiger, Thomas
AU  - Schweiger T
AD  - Department of Thoracic Surgery, Medical University of Vienna, Vienna, Austria.
FAU - Hoetzenecker, Konrad
AU  - Hoetzenecker K
AD  - Department of Thoracic Surgery, Medical University of Vienna, Vienna, Austria.
LA  - eng
PT  - Journal Article
DEP - 20231118
PL  - United States
TA  - JTCVS Tech
JT  - JTCVS techniques
JID - 101768546
PMC - PMC10859644
OTO - NOTNLM
OT  - cricotracheal resection
OT  - idiopathic subglottic stenosis
OT  - laryngotracheal reconstruction
OT  - laryngotracheal stenosis
OT  - laryngotracheal surgery
COIS- The authors reported no conflicts of interest. The Journal policy requires 
      editors and reviewers to disclose conflicts of interest and to decline handling 
      or reviewing manuscripts for which they may have a conflict of interest. The 
      editors and reviewers of this article have no conflicts of interest.
EDAT- 2024/02/14 06:43
MHDA- 2024/02/14 06:44
PMCR- 2023/11/18
CRDT- 2024/02/14 03:46
PHST- 2023/06/27 00:00 [received]
PHST- 2023/10/30 00:00 [revised]
PHST- 2023/11/07 00:00 [accepted]
PHST- 2024/02/14 06:44 [medline]
PHST- 2024/02/14 06:43 [pubmed]
PHST- 2024/02/14 03:46 [entrez]
PHST- 2023/11/18 00:00 [pmc-release]
AID - S2666-2507(23)00419-4 [pii]
AID - 10.1016/j.xjtc.2023.11.005 [doi]
PST - epublish
SO  - JTCVS Tech. 2023 Nov 18;23:161-169. doi: 10.1016/j.xjtc.2023.11.005. eCollection 
      2024 Feb.