{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:56:57Z","timestamp":1777427817599,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T00:00:00Z","timestamp":1631836800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>For unilateral vocal fold paralysis (UVFP) with large posterior glottic gap medialization laryngoplasty (ML)\u2009+\u2009arytenoid adduction (AA), ML\u2009+\u2009adduction arytenopexy (AApexy), and ML alone using prosthesis with posterior extension are possible solutions. This study was carried out to elucidate the controversy among these solution options.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective cohort. Tertiary referral center. One hundred forty patients with UVFP with large posterior glottic gap. Group 1 had 30 patients with ML\u2009+\u2009AA; Group 2 had 25 patients with ML\u2009+\u2009AApexy; Group 3 had 29 patients with ML using Isshiki prosthesis; Group 4 had 26 patients with ML using Montgomery prosthesis; Group 5 had 30 patients with ML using prosthesis with large posterior extension. Glottic closure using videolaryngostroboscopy, GRBAS, VHI-30, EAT-10, acoustic and aerodynamic analysis was carried out pre- and 1-year-postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Preoperatively there was no significant difference in any parameters studied among all study groups ( P\u2009&gt;\u2009.05). Except F0, speaking F0 and EAT-10, all other parameters in acoustic and aerodynamic analysis, glottic closure, GRBAS, and VHI-30 scores were significantly better postoperatively in Groups 1 and 2 compared to Groups 3 to 5 ( P\u2009&lt;\u2009.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In patients with UVFP and large posterior glottic gap, ML\u2009+\u2009AA and ML\u2009+\u2009AApexy seem to do better subjectively and objectively, acoustically and aerodynamically, when compared to ML using prosthesis with and without large posterior extension. ML alone does not appear to close posterior glottic gap. Therefore, it is a better and more reasonable option to perform arytenoid procedure when there is large posterior glottic gap in UVFP.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894211045637","type":"journal-article","created":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T23:42:33Z","timestamp":1631922153000},"page":"859-867","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Unilateral Vocal Fold Paralysis With Large Posterior Glottic Gap: Is Arytenoid Procedure Necessary?"],"prefix":"10.1177","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8999-3237","authenticated-orcid":false,"given":"Taner","family":"Y\u0131lmaz","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Furkan","family":"\u00d6zer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2014Head and Neck Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,9,17]]},"reference":[{"key":"bibr1-00034894211045637","doi-asserted-by":"publisher","DOI":"10.3109\/00016487509121353"},{"key":"bibr2-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1978.00790100009002"},{"key":"bibr3-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2018.07.019"},{"key":"bibr4-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2014.07.008"},{"key":"bibr5-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1258\/0022215041615263"},{"key":"bibr6-00034894211045637","first-page":"2","volume":"173","author":"Zeitels SM","year":"1998","journal-title":"Ann Otol Rhinol Laryngol Suppl"},{"key":"bibr7-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1177\/000348949910801206"},{"key":"bibr8-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215121000475"},{"key":"bibr9-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1002\/lary.28903"},{"key":"bibr10-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(00)80017-X"},{"key":"bibr11-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811701210"},{"key":"bibr12-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-019-05562-x"},{"issue":"5","key":"bibr13-00034894211045637","volume":"89","author":"Senkal HA","year":"2010","journal-title":"Ear Nose Throat J"},{"key":"bibr14-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1177\/0145561319862789"},{"key":"bibr15-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27538"},{"key":"bibr16-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(05)80212-7"},{"key":"bibr17-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59980301390-1"},{"key":"bibr18-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200008000-00015"},{"key":"bibr19-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199505000-00006"},{"key":"bibr20-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2009.11.001"},{"key":"bibr21-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1002\/lary.20171"},{"key":"bibr22-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26900"},{"key":"bibr23-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26773"},{"key":"bibr24-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27684"},{"key":"bibr25-00034894211045637","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e31815acaf9"}],"container-title":["Annals of Otology, Rhinology &amp; 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