{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T07:31:56Z","timestamp":1777620716971,"version":"3.51.4"},"reference-count":0,"publisher":"Index Copernicus","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Otolaryngol Pol"],"published-print":{"date-parts":[[2017,2,28]]},"abstract":"<jats:p>Medialization thyroplasty (type I) is surgical procedure performed on the thyroid cartilage. The major indication for this surgery is significant glottis insufficiency due to unilateral vocal fold paresis. However the proce\u00acdure is also performed after vocal fold resections during cordectomy.\nThe aim: The evaluation of voice results in patients after medialisation throplasty. \nMaterial and methods: In Otolaryngology Department of Medical University of Warsaw there were performed so far 8 thyroplasty procedures under local anaesthesia with implantation of medical silicon protesis. 6 patients had unilat\u00aceral vocal fold paresis and the rest two underwent in the past laser cordectomy due to T1a vocal carcinoma. \nResults: There were no complications during and post the surgery. The follow up examination in 1st , 3rd, 6th i 12th months postoperatively revealed for all patients significant improvement of glottal closure in laryngeal videostrobos\u00accopy. The voice quality improved both in perceptual evaluation (GRBAS scale) and acoustic analysis (F0, jitter, shim\u00acmer, NHR) in both patients groups. However the rate of improvement was much more significant in group with uni\u00aclateral vocal fold paresis. In all patients the maximum phonation time (MPT) increased. The self-evaluation of voice quality with Voice Handicap Index questionnaire confirmed also individual improvement. \nConclusions: The speech rehabilitations is not successful in each patient with glottis insufficiency. The medialisation thyroplasty remains the standard procedure for permanent improvement of voice quality in those cases.\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0009.5548","type":"journal-article","created":{"date-parts":[[2017,2,22]],"date-time":"2017-02-22T08:58:35Z","timestamp":1487753915000},"page":"22-29","source":"Crossref","is-referenced-by-count":4,"title":["Medialization thyroplasty in glottis insufficiency due to unilateral vocal fold paralysis and after laser cordectomies \u2013 preliminary report"],"prefix":"10.5604","volume":"71","author":[{"given":"Anna","family":"Rzepakowska","sequence":"first","affiliation":[{"name":"Katedra i Klinika Otolaryngologii Warszawskiego Uniwersytetu Medycznego Kierownik Kliniki: prof. dr hab. n. med. K. Niemczyk"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewa","family":"Osuch-W\u00f3jcikiewicz","sequence":"additional","affiliation":[{"name":"Katedra i Klinika Otolaryngologii Warszawski Uniwersytet Medyczny Kierownik: prof. dr hab. med. K. Niemczyk"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ewelina","family":"Sielska-Badurek","sequence":"additional","affiliation":[{"name":"Katedra i Klinika Otolaryngologii Warszawskiego Uniwersytetu Medycznego Kierownik: K. Niemczyk"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazimierz","family":"Niemczyk","sequence":"additional","affiliation":[{"name":"Katedra i Klinika Otolaryngologii WUM, Kierownik: prof. dr hab. med. K. Niemczyk, Warszawa, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","container-title":["Otolaryngologia Polska"],"original-title":[],"link":[{"URL":"https:\/\/publisherspanel.com\/gicid\/pdf\/01.3001.0009.5548","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,6,30]],"date-time":"2017-06-30T06:21:26Z","timestamp":1498803686000},"score":1,"resource":{"primary":{"URL":"http:\/\/otolaryngologypl.com\/gicid\/01.3001.0009.5548"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,28]]},"references-count":0,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2017,2,28]]}},"URL":"https:\/\/doi.org\/10.5604\/01.3001.0009.5548","relation":{},"ISSN":["0030-6657","2300-8423"],"issn-type":[{"value":"0030-6657","type":"print"},{"value":"2300-8423","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,28]]}}}