{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T11:18:29Z","timestamp":1791976709271,"version":"4.4.0"},"reference-count":9,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T00:00:00Z","timestamp":1769299200000},"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":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Unilateral vocal fold paralysis (UVFP) causes denervation of intrinsic laryngeal muscles in varying degrees and results in different types of glottal configurations. While the primary goal of surgery is to improve vocal function, outcomes are strongly influenced by how effectively the underlying laryngeal physiology and alignment are restored. Denervation of the posterior cricoarytenoid (PCA) muscle causes the arytenoid to fall anteriorly and medially. Static procedures such as medialization thyroplasty does not address this. This study evaluates the impact of non-selective laryngeal reinnervation (LR) on arytenoid position and vocal function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective study was conducted on 41 patients with UVFP who underwent Non selective reinnervation between 2021 and 2024 at a tertiary care hospital. Arytenoid prolapse was graded using a 3-point scale from laryngoscopy videos pre- and 6\u2009months post-operatively. Voice outcomes were assessed using Maximum Phonation Duration (MPD) and Voice Handicap Index-10 (VHI-10).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Improvement in arytenoid position was defined as an upgrade by at least one grade in the prolapse grading system.70.7% of the patients showed improvement in arytenoid position 6\u2009months post non selective reinnervation surgery. Significant postoperative improvements were observed in both MPD and VHI-10 scores (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009&lt;\u20090.01), correlating with arytenoid stabilization and improved phonatory function.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Non-selective reinnervation not only improves vocal quality but also restores arytenoid position, addressing a key component of glottic insufficiency in UVFP. These findings support reinnervation as a physiologic, durable solution with functional and anatomic advantages over static medialization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894251407783","type":"journal-article","created":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T10:27:51Z","timestamp":1769336871000},"page":"453-457","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Correction of Arytenoid Malrotation with Non-Selective Reinnervation for Unilateral Vocal Cord Palsy: A Functional Outcome Study"],"prefix":"10.1177","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7071-264X","authenticated-orcid":false,"given":"Arunima","family":"Sheeja","sequence":"first","affiliation":[{"name":"Department of Laryngology, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8360-3567","authenticated-orcid":false,"given":"Jayakumar R.","family":"Menon","sequence":"additional","affiliation":[{"name":"Department of Laryngology, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manju E.","family":"Issac","sequence":"additional","affiliation":[{"name":"Department of Laryngology, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-3405-3049","authenticated-orcid":false,"given":"Reshmi","family":"Aravindakshan","sequence":"additional","affiliation":[{"name":"Department of Laryngology, Ananthapuri Hospitals and Research Institute, Thiruvananthapuram, Kerala, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,1,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30614"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2022.11.030"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/lary.1991.101.4.384"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348940010900405"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/019459989110400406"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.5005\/jp-journals-10001-1515"},{"issue":"9","key":"e_1_3_2_8_2","first-page":"828","article-title":"Non-selective reinnervation vs thyroplasty in unilateral vocal fold paralysis: 12-month outcomes","volume":"131","author":"Azlina A","year":"2017","unstructured":"Azlina A, Prepageran N, Rahmat O, Lokman S. Non-selective reinnervation vs thyroplasty in unilateral vocal fold paralysis: 12-month outcomes. J Laryngol Otol. 2017;131(9):828-834.","journal-title":"J Laryngol Otol"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/000348940811700109"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0019128"}],"container-title":["Annals of Otology, Rhinology &amp; Laryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894251407783","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00034894251407783","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00034894251407783","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T11:47:46Z","timestamp":1777549666000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00034894251407783"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,25]]},"references-count":9,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/00034894251407783"],"URL":"https:\/\/doi.org\/10.1177\/00034894251407783","relation":{},"ISSN":["0003-4894","1943-572X"],"issn-type":[{"value":"0003-4894","type":"print"},{"value":"1943-572X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,25]]}}}