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1000 Titel
  • 3D-exoscopic microlaryngoscopy in phonosurgery for glottic insufficiency
1000 Autor/in
  1. Eckel, Hans Nikolaus Caspar |
  2. Nolte, Antonia |
  3. Otte, Martin S. |
  4. Shabli, Sami |
  5. Lang-Roth, Ruth |
  6. Klußmann, Jens P. |
  7. Hansen, Kevin K. |
1000 Verlag Springer Berlin Heidelberg
1000 Erscheinungsjahr 2023
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2023-12-18
1000 Erschienen in
1000 Quellenangabe
  • 281(2):855-861
1000 Copyrightjahr
  • 2023
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00405-023-08345-7 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10796486/ |
1000 Publikationsstatus
1000 Begutachtungsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • <jats:title>Abstract</jats:title><jats:sec> <jats:title>Purpose</jats:title> <jats:p>We hypothesized that using a 3D-exoscope (3Dex) in microlaryngoscopic phonosurgery is non-inferior to using a standard operating microscope (OM). To compare the above, we utilized a 3Dex and an OM for microlaryngoscopic vocal fold augmentation with autologous fat in patients with glottic insufficiency and compared the procedure itself and the long-term impact of vocal fold augmentation on subjective and objective voice parameters in both groups.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>36 patients with glottic insufficiency received microlaryngoscopic laryngeal augmentation with autologous fat. A 3Dex was utilized in 24 cases for visualization and compared to twelve cases in which an OM was used. Voice parameters were evaluated over a period of twelve months.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>Comparison of operation time and voice parameters between the 3Dex and OM groups did not reveal significant differences. Significant improvement of mean voice quality in all parameters excluding roughness was observed at 3 and 6 months followed then by a slight decrease of voice quality parameters between the 6 and 12 months interval in both groups.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>Our findings indicate no difference concerning operation time and outcome between the use of a 3Dex and an OM in phonosurgery. Our results highlight a significant voice improvement after vocal fold augmentation with autologous fat in glottic insufficiency mediated dysphonia. The smaller viewing system, better ergonomics for the primary surgeon and the assistant and a direct view for the entire surgical team make a 3Dex an interesting alternative for visualization in microlaryngoscopic phonosurgery.</jats:p> </jats:sec>
1000 Sacherschließung
lokal Laryngology
lokal Laryngoplasty/methods [MeSH]
lokal Glottis/surgery [MeSH]
lokal Humans [MeSH]
lokal Voice [MeSH]
lokal Treatment Outcome [MeSH]
lokal Retrospective Studies [MeSH]
lokal Adipose Tissue/transplantation [MeSH]
lokal Vocal fold augmentation
lokal Voice
lokal Vocal fold paralysis
lokal Vocal Cord Paralysis/surgery [MeSH]
lokal Vocal Cords/surgery [MeSH]
lokal 3D-exoscope
lokal Injection laryngoplasty
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  1. https://orcid.org/0000-0002-6947-9836|https://frl.publisso.de/adhoc/uri/Tm9sdGUsIEFudG9uaWE=|https://frl.publisso.de/adhoc/uri/T3R0ZSwgTWFydGluIFMu|https://frl.publisso.de/adhoc/uri/U2hhYmxpLCBTYW1p|https://frl.publisso.de/adhoc/uri/TGFuZy1Sb3RoLCBSdXRo|https://frl.publisso.de/adhoc/uri/S2x1w59tYW5uLCBKZW5zIFAu|https://frl.publisso.de/adhoc/uri/SGFuc2VuLCBLZXZpbiBLLg==
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  1. Universitätsklinikum Köln |
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1000 Dateien
  1. 3D-exoscopic microlaryngoscopy in phonosurgery for glottic insufficiency
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    1000 Förderer Universitätsklinikum Köln |
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