{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T07:36:55Z","timestamp":1777621015358,"version":"3.51.4"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,5,12]],"date-time":"2015-05-12T00:00:00Z","timestamp":1431388800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify patterns of failure following transcervical medialization laryngoplasty for unilateral vocal fold paralysis and describe indications and revision techniques for optimal vocal outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Tertiary care center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Thirty\u2010nine consecutive patients between January 2005 and April 2014 undergoing transcervical revision of failed primary medialization laryngoplasty were identified. Demographics, etiology, stroboscopic assessment, and surgical techniques were recorded. Patient self\u2010assessment using the Voice\u2010Related Quality\u2010of\u2010Life (VRQOL) questionnaire and objective acoustic and aerodynamic assessments performed pre\u2010 and postoperatively were analyzed using <jats:italic>t<\/jats:italic> tests for paired comparisons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010nine patients underwent 48 transcervical revision surgeries. Median follow\u2010up was 14.6\u00a0months from time of final revision surgery. Indications included anterior glottic incompetence (38\/48, 79%), posterior glottic incompetence (20\/48, 42%), glottic overclosure (8\/48, 17%), and\/or decreased phonatory pliability (12\/48, 25%). A combination of findings was present in 21 (44%) surgeries. Revision techniques included either anterior augmentation, arytenopexy, and cricothyroid subluxation (alone or in combination) in 46 of 48 (96%) patients or partial implant removal alone in 2 patients. Seven patients (18%) required multiple revisions. A complete set of voice parameters was available for 22 patients, and statistically significant improvements included VRQOL scores, fundamental frequency in females, jitter, noise\u2010to\u2010harmonic ratio, and mean airflow rate.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Patterns of failure in patients with suboptimal phonatory function after transcervical medialization laryngoplasty included persistent glottic incompetence, glottic overclosure, and decreased vocal fold pliability. Revision transcervical medialization surgery, guided by individualized consideration of vocal fold position and surface pliability, can improve phonatory outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599815585091","type":"journal-article","created":{"date-parts":[[2015,5,12]],"date-time":"2015-05-12T22:21:27Z","timestamp":1431469287000},"page":"593-598","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Revision Transcervical Medialization Laryngoplasty for Unilateral Vocal Fold Paralysis"],"prefix":"10.1002","volume":"153","author":[{"given":"Noah P.","family":"Parker","sequence":"first","affiliation":[{"name":"Department of Surgery Harvard Medical School and Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anca M.","family":"Barbu","sequence":"additional","affiliation":[{"name":"Department of Surgery Harvard Medical School and Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert E.","family":"Hillman","sequence":"additional","affiliation":[{"name":"Department of Surgery Harvard Medical School and Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven M.","family":"Zeitels","sequence":"additional","affiliation":[{"name":"Department of Surgery Harvard Medical School and Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James A.","family":"Burns","sequence":"additional","affiliation":[{"name":"Department of Surgery Harvard Medical School and Center for Laryngeal Surgery and Voice Rehabilitation Massachusetts General Hospital Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,5,12]]},"reference":[{"key":"e_1_2_8_2_1","first-page":"1265","article-title":"Plastik am Schildknorpel zur Behebung der Folgen Einsetiger Stimmbandlahmung","volume":"43","author":"Payr E","year":"1915","journal-title":"Dtsch Med Wochensch"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016487409126379"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198607000-00004"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949310200801"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949310201104"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199603\/04)18:2<174::AID-HED10>3.0.CO;2-F"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1978.00790100009002"},{"key":"e_1_2_8_9_1","first-page":"2","article-title":"Adduction arytenopexy: a new procedure for paralytic dysphonia with implications for implant medialization","volume":"107","author":"Zeitels SM","year":"1998","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-1810(99)80043-8"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949910801206"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0892-1997(99)80010-1"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1043-1810(99)80050-5"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940111001201"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459980112400603"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1067\/S0892-1997(03)00080-8"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2004.03.023"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.10.016"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.21455"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949310200602"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000162644.63752.BC"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348949710601104"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200105000-00002"},{"key":"e_1_2_8_24_1","first-page":"81","volume-title":"Disorders of Human Communication","author":"Hirano M","year":"1981"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199606000-00006"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599815585091","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599815585091","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599815585091","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:17:56Z","timestamp":1760951876000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599815585091"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,5,12]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1177\/0194599815585091"],"URL":"https:\/\/doi.org\/10.1177\/0194599815585091","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,5,12]]},"assertion":[{"value":"2015-02-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-04-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-05-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}