{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T07:35:52Z","timestamp":1777620952939,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2022,1,11]],"date-time":"2022-01-11T00:00:00Z","timestamp":1641859200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/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":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>Vocal fold motion impairment (VFMI) due to neuronal injury is a known complication following thoracic aortic repair that can impair pulmonary toilet function and post-operative recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To demonstrate clinical outcomes of patients undergoing inpatient vocal fold medialization for VFMI after aortic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A 15-year retrospective chart review (2005-2019) of 259 patients with postoperative VFMI after thoracic aortic surgery registry was conducted. Data included demographics, surgery characteristics, laryngology exam, and postoperative clinical outcomes. Medialization procedures consisted of type 1 thyroplasty and injection laryngoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Tertiary care hospital<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Two hundred and fifty-nine patients (median age 61, 71% male) with VFMI post-thoracic aortic repair met inclusion criteria; inpatient vocal fold medialization was performed for 203 (78%) patients. One hundred and twenty-six. (49%) received type 1 thyroplasty and 77 (30%) received injection laryngoplasty procedures at a median 7\u2009days (IQR 5-8\u2009days) from extubation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcomes:<\/jats:title>\n                    <jats:p>Primary study outcome measurements consisted of median LOS, median ICU LOS, complications intra- and postoperatively, and pulmonary complications (post-medialization bronchoscopies, pneumonia, tracheostomy, etc.).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Post-medialization bronchoscopy rates were significantly lower in the medialization (n\u2009=\u200911) versus the non-medialization group (n\u2009=\u20098) (5% vs 14%, P\u2009=\u2009.02) and significantly higher in the injection laryngoplasty group (n\u2009=\u200977) versus thyroplasty group (n\u2009=\u2009126) (10% vs 2%, P\u2009=\u2009.02). Further analysis revealed no significant difference in overall LOS and pulmonary complications between the techniques.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Inpatient thyroplasty and injection laryngoplasty are both effective vocal fold medialization techniques after extent I and II aortic repair. Thyroplasty may have a small pulmonary toilet advantage, as measured by need for post-medialization bronchoscopy, compared to injection laryngoplasty.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894211070132","type":"journal-article","created":{"date-parts":[[2022,1,12]],"date-time":"2022-01-12T02:08:12Z","timestamp":1641953292000},"page":"1340-1345","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Inpatient Type 1 Thyroplasty Versus Injection Laryngoplasty for Vocal Fold Movement Impairment After Extent type I and II Aortic Repair"],"prefix":"10.1177","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6111-0025","authenticated-orcid":false,"given":"Lauren A.","family":"Pinzas","sequence":"first","affiliation":[{"name":"Baylor College of Medicine, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane W.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head & Neck Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nelson Eddie","family":"Liou","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head & Neck Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald T.","family":"Donovan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head & Neck Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8621-5456","authenticated-orcid":false,"given":"Julina","family":"Ongkasuwan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology \u2013 Head & Neck Surgery, Baylor College of Medicine, Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,1,11]]},"reference":[{"key":"bibr1-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1177\/019459989010200207"},{"key":"bibr2-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2005.11.054"},{"key":"bibr3-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.02.008"},{"key":"bibr4-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00019-2"},{"key":"bibr5-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(96)01068-8"},{"key":"bibr6-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2012.09.011"},{"key":"bibr7-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1177\/0194599815601393"},{"key":"bibr8-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1002\/lary.22178"},{"key":"bibr9-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.10.088"},{"key":"bibr10-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2006.09.001"},{"key":"bibr11-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(02)00839-4"},{"key":"bibr12-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26747"},{"key":"bibr13-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27347"},{"key":"bibr14-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1177\/000348949310200602"},{"key":"bibr15-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199403000-00006"},{"key":"bibr16-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1001\/archoto.2012.42"},{"key":"bibr17-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39848-4"},{"key":"bibr18-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.02.021"},{"key":"bibr19-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1177\/0194599818756285"},{"key":"bibr20-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1177\/000348940211100802"},{"key":"bibr21-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2001.112533"},{"key":"bibr22-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26508"},{"key":"bibr23-00034894211070132","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.03.037"},{"issue":"2","key":"bibr24-00034894211070132","volume":"83","author":"Conrad MF","year":"2007","journal-title":"Ann Cardiothorac Surg"}],"container-title":["Annals of Otology, Rhinology &amp; 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