{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T15:49:14Z","timestamp":1783612154022,"version":"3.55.0"},"reference-count":49,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,12,24]],"date-time":"2018-12-24T00:00:00Z","timestamp":1545609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Voice outcomes following medialization laryngoplasty (ML) for unilateral vocal fold paralysis (UVFP) were compared to those who underwent ML plus arytenoid adduction (AA) (ML+AA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Single institution retrospective review of patients with UVFP undergoing ML and ML+AA (2009\u20132017). Demographic information and history of laryngeal procedures were collected. Preoperative and postoperative Voice Handicap Index\u201010 (VHI\u201010) and Consensus Perceptual Auditory Evaluation of Voice (CAPE\u2010V) were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 236 patients, 119 met study criteria. Of those, 70 (59%) underwent ML and 49 (41%) underwent ML+AA. Significant differences between groups at baseline were found for age at time of thyroplasty (<jats:italic>P<\/jats:italic>\u2009=\u20090.046), VHI\u201010 scores (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), and CAPE\u2010V scores (<jats:italic>P<\/jats:italic>\u2009=\u20090.007). Baseline VHI\u201010 scores for ML+AA (28\u2009\u00b1\u20097) were greater than those for ML alone (24\u2009\u00b1\u20097). At 12 months, overall VHI\u201010 scores improved compared to baseline for both groups (ML+AA\u2009=\u20099\u2009\u00b1\u20097, ML\u2009=\u200916 \u00b1\u20099); however, there was greater improvement for the ML+AA group compared to ML group (<jats:italic>P<\/jats:italic>\u2009=\u20090.001). CAPE\u2010V scores at 3 or 12 months improved, but differences between the groups were not statistically significant once controlled for covariates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Based on current findings, patients who undergo ML+AA likely have greater voice handicap at baseline compared to those undergoing ML alone. Patients selected for ML+AA improve as much or more than those who underwent ML alone. This highlights the importance of appropriate selection of candidates for AA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>4<\/jats:p><jats:p><jats:italic>Laryngoscope<\/jats:italic>, 129:1876\u20131881, 2019<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.27684","type":"journal-article","created":{"date-parts":[[2018,12,24]],"date-time":"2018-12-24T14:12:32Z","timestamp":1545660752000},"page":"1876-1881","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Voice outcomes following medialization laryngoplasty with and without arytenoid adduction"],"prefix":"10.1002","volume":"129","author":[{"given":"Terence M.","family":"Zimmermann","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana M.","family":"Orbelo","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca L.","family":"Pittelko","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie J.","family":"Youssef","sequence":"additional","affiliation":[{"name":"Mayo Clinic School of Medicine  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine M.","family":"Lohse","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Research Mayo Clinic  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dale C.","family":"Ekbom","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology  Rochester Minnesota U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,24]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23197"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940611500209"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31817e7431"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1159\/000316320"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940211100803"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e3180de4d49"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2005.07.020"},{"key":"e_1_2_6_9_1","first-page":"290","article-title":"Etiologic features in patients with unilateral vocal fold paralysis in Taiwan","volume":"32","author":"Ko HC","year":"2009","journal-title":"Chang Gung Med J"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1159\/000099226"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.128.4.389"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-1241.2008.01875.x"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2011.09"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200009000-00011"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.3171\/spi.2005.2.2.0123"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.295.18.2164"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181bef3cb"},{"key":"e_1_2_6_18_1","unstructured":"SEER Cancer Statistics Review 1975 \u2013 2007. 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