{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T07:31:46Z","timestamp":1777620706900,"version":"3.51.4"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,4,23]],"date-time":"2018-04-23T00:00:00Z","timestamp":1524441600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this multicentric cross\u2010sectional study was to examine the permanency of Montgomery thyroplasty (<jats:styled-content style=\"fixed-case\">MTIS<\/jats:styled-content>) results from a patient's perspective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>The study consisted of collecting Voice Handicap Index (<jats:styled-content style=\"fixed-case\">VHI<\/jats:styled-content>\u201030) questionnaires from patients who had previously been operated with <jats:styled-content style=\"fixed-case\">MTIS<\/jats:styled-content> between 2 and 12\u00a0years before. Very long\u2010term (&gt;2\u00a0years) postoperative data were compared with the previously acquired preoperative and early postoperative <jats:styled-content style=\"fixed-case\">VHI<\/jats:styled-content> results. Influence of factors such as age, gender, size\/side of the prosthesis and length of the follow\u2010up were also analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Multicentric study involving three tertiary European voice centres.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Forty\u2010nine unilateral vocal fold paralysis (<jats:styled-content style=\"fixed-case\">UVFP<\/jats:styled-content>) patients, treated by <jats:styled-content style=\"fixed-case\">MTIS<\/jats:styled-content>, were included in the study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The Voice Handicap Index\u201030 score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results &amp; Conclusions<\/jats:title><jats:p>The median <jats:styled-content style=\"fixed-case\">VHI<\/jats:styled-content> was significantly different over time\u2010points (Friedman's test <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), with a significant difference between preoperative and early postoperative time\u2010points (median <jats:styled-content style=\"fixed-case\">VHI<\/jats:styled-content>: 70 vs 21, respectively; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001) and between preoperative and very long\u2010term postoperative time\u2010points (median <jats:styled-content style=\"fixed-case\">VHI<\/jats:styled-content>: 70 vs 16, respectively; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001). The median <jats:styled-content style=\"fixed-case\">VHI<\/jats:styled-content> did not differ for the early and very long\u2010term postoperative time\u2010points (median <jats:styled-content style=\"fixed-case\">VHI<\/jats:styled-content>: 21 vs 16; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.470).<\/jats:p><jats:p>Age differences, gender differences and size\/side differences of the prostheses, centres where surgery took place and length of the follow\u2010up showed no significant influence.<\/jats:p><jats:p>Medialisation thyroplasty (MT) overall and <jats:styled-content style=\"fixed-case\">MTIS<\/jats:styled-content>, in particular, should be considered as a possible standard of care for <jats:styled-content style=\"fixed-case\">UVFP<\/jats:styled-content> when permanency of voice results is sought.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.13113","type":"journal-article","created":{"date-parts":[[2018,4,6]],"date-time":"2018-04-06T22:28:52Z","timestamp":1523053732000},"page":"1097-1103","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Very long\u2010term Voice Handicap Index Voice Outcomes after Montgomery Thyroplasty: A cross\u2010sectional study"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5303-5878","authenticated-orcid":false,"given":"G.","family":"Desuter","sequence":"first","affiliation":[{"name":"Otolaryngology, Head &amp; Neck Surgery Department Voice &amp; Swallowing Clinic Cliniques universitaires Saint\u2010Luc Universit\u00e9 catholique de Louvain Brussels Belgium"},{"name":"Otolaryngology, Head &amp; Neck Surgery Department LUMC University of Leiden Leiden The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Zapater","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head &amp; Neck Surgery Department Valencia Medical School University General Hospital Valencia Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Van der Vorst","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head &amp; Neck Surgery Department H\u00f4pital universitaire UCL Namur, Mont\u2010Godinne Universit\u00e9 catholique de Louvain Yvoir Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Henrard","sequence":"additional","affiliation":[{"name":"Institute of Health and Society (IRSS) Universit\u00e9 catholique de Louvain Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.T.","family":"van Lith\u2010Bijl","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head &amp; Neck Surgery Department Voice &amp; Swallowing Clinic Cliniques universitaires Saint\u2010Luc Universit\u00e9 catholique de Louvain Brussels Belgium"},{"name":"Otolaryngology Department Flevoziekenhuis Almere The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.P.","family":"van Benthem","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head &amp; Neck Surgery Department LUMC University of Leiden Leiden The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.V.","family":"Sj\u00f6gren","sequence":"additional","affiliation":[{"name":"Otolaryngology, Head &amp; Neck Surgery Department LUMC University of Leiden Leiden The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,4,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-017-4844-9"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-014-3292-z"},{"key":"e_1_2_8_4_1","first-page":"1","article-title":"Montgomery thyroplasty implant system","volume":"170","author":"Montgomery WW","year":"1997","journal-title":"Ann Otol Rhinol Laryngol Suppl"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941212101101"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000168059.12949.a6"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016480310016875"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.102186"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25739"},{"issue":"3","key":"e_1_2_8_10_1","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1288\/00005537-199403000-00006","article-title":"Long\u2010term changes in vocal quality following Isshiki thyroplasty type I","volume":"104","author":"Leder SB","year":"1994","journal-title":"Laryngoscope"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941212100308"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2012.42"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(00)80083-1"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-015-3663-0"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1044\/1058-0360.0603.66"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2006.04.005"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2005.03.006"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2015.03.017"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463-017-0191-5"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812464193"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199811000-00020"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21004"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcoa.13113","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13113","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/coa.13113","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.13113","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T14:05:29Z","timestamp":1693317929000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.13113"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,23]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1111\/coa.13113"],"URL":"https:\/\/doi.org\/10.1111\/coa.13113","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,23]]},"assertion":[{"value":"2018-03-27","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-04-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}