Videokymographic analysis of patients after frontolateral laryngectomy with sternohyoid muscle flap reconstruction. 2009

R A Dedivitis, and C B Sertorio, and E G Pfuetzenreiter
Departments of Head and Neck Surgery of Ana Costa Hospital and Irmandade da Santa Casa da Misericórdia de Santos, Santos/SP, Brazil. dedivitis.hns@uol.com.br

A retrospective study was conducted to analyse videokymographic findings from patients who underwent vertical frontolateral laryngectomy with reconstruction using a sternohyoid muscle flap. Overall, 22 patients with T1b and T2 glottic tumours and more than one year of follow-up were studied. Two experienced observers analysed the recorded videokymographic data. A cross-sectional descriptive design was used. The images showed the vocal vibratory behaviour during sustained /i/ phonation. The vibratory source was supraglottic in 7/22 patients, glottic in 11 and mixed in 4. The mean duration of the glottic cycles extracted from the supraglottic, mixed and glottic vibratory sources was 6.4 ms, 5 ms and 4.6 ms, corresponding to the fundamental frequency (f0) of 188.7 Hz, 200 Hz and 215.7 Hz, respectively. Of the 11 patients with a glottic vibratory source, 4 did not present a closed phase in the glottic cycle. The mean open quotient was 79%, 40% and 63%, for the supraglottic, mixed and glottic vibratory sources, respectively. All 11 reconstructed vocal cords presented a rounded lateral peak. Of the 15 preserved vocal cords, 11 presented a rounded lateral peak and 4 had sharp peaks. All patients with a glottic vibratory source presented a rounded medial peak. All the vocal cords evaluated presented a mucosal wave, which was normal in 3 patients with a glottic source and clearly reduced in the others. Only one case presented phase asymmetry. The mean values for the amplitude asymmetry index were 0.92 and 0.68, for the mixed and supraglottic vibratory sources, respectively.

UI MeSH Term Description Entries
D007734 Kymography The recording of wavelike motions or undulations. It is usually used on arteries to detect variations in blood pressure. Kymographies
D007822 Laryngeal Neoplasms Cancers or tumors of the LARYNX or any of its parts: the GLOTTIS; EPIGLOTTIS; LARYNGEAL CARTILAGES; LARYNGEAL MUSCLES; and VOCAL CORDS. Cancer of Larynx,Laryngeal Cancer,Larynx Neoplasms,Cancer of the Larynx,Larynx Cancer,Neoplasms, Laryngeal,Cancer, Laryngeal,Cancer, Larynx,Cancers, Laryngeal,Cancers, Larynx,Laryngeal Cancers,Laryngeal Neoplasm,Larynx Cancers,Larynx Neoplasm,Neoplasm, Laryngeal,Neoplasm, Larynx,Neoplasms, Larynx
D007825 Laryngectomy Total or partial excision of the larynx. Laryngectomies
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D005931 Glottis The vocal apparatus of the larynx, situated in the middle section of the larynx. Glottis consists of the VOCAL FOLDS and an opening (rima glottidis) between the folds. Rima Glottidis,Glottidi, Rima,Glottidis, Rima,Rima Glottidi
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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