{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:13:00Z","timestamp":1772118780794,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2015,1,30]],"date-time":"2015-01-30T00:00:00Z","timestamp":1422576000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives\/Hypothesis<\/jats:title>\n                    <jats:p>To describe postoperative adverse events (AEs) and outcomes after transoral surgery for bilateral vocal fold paralysis (BVFP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Prospective observational multicenter study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Thirty\u2010six patients with BVFP underwent transoral surgery using standard surgical procedures to unilaterally widen the glottic area. Postoperative adverse events (AEs) including severe adverse events (SAEs) were registered continuously. Pre\u2010 and 6\u2010month postoperative evaluations included the 6\u2010Minute Walk Test, the 36\u2010Item Short Form Health Survey (SF\u201036), the Glasgow Benefit Inventory, the 12\u2010Item Voice Handicap Index (VHI\u201012), and a Fiberoptic Endoscopic Evaluation of Swallowing graded according to the Penetration\u2013Aspiration\u2010Scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The patients underwent posterior cordotomy, partial arytenoidectomy, or permanent laterofixation as single procedures or in combination. Forty\u2010seven percent of the patients had postoperative AEs. Dyspnea was the most frequent AE (45%). In 40% of AEs, the events were severe (SAEs), and 72.5% were related to the study intervention. Revision surgery leading to prolonged hospitalization or rehospitalization was necessary in nine cases (25%). Laterofixation was correlated to a decreased risk of AEs (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.042). Six months after surgery, a significant improvement was seen in the SF\u2010domains: Physical component score (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.008), physical functioning (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.001), physical role (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.031), and vitality (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.032). Concerning the voice handicap, only the VHI\u201012 physical subscore showed a decrease (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.005). The total score and other VHI\u201012 subscores did not change significantly (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&gt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>BCVP patients profit from modern transoral surgery for unilateral glottic widening; quality of life is improved; and the voice is preserved. Nevertheless, postoperative complications are frequent.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>\n                      2b.\n                      <jats:italic>Laryngoscope<\/jats:italic>\n                      , 125:1401\u20131408, 2015\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.25137","type":"journal-article","created":{"date-parts":[[2015,1,30]],"date-time":"2015-01-30T06:08:18Z","timestamp":1422598098000},"page":"1401-1408","source":"Crossref","is-referenced-by-count":28,"title":["Permanent transoral surgery of bilateral vocal fold paralysis: A prospective multi\u2010center trial"],"prefix":"10.1002","volume":"125","author":[{"given":"Tadeus","family":"Nawka","sequence":"first","affiliation":[{"name":"Department of Audiology and Phoniatrics Charit\u00e9 University Medicine Berlin Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Sittel","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Klinikum Stuttgart, Katharinenhospital Stuttgart Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Gugatschka","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Medical University of Graz Graz Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Arens","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Otto\u2010von\u2010Guericke University Magdeburg Magdeburg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruth","family":"Lang\u2010Roth","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology Head and Neck Surgery University of Cologne Cologne 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