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Endoscopic Mucosal Rotational Flap for Posterior Glottic Insufficiency: A Case Report

Overview
Journal Laryngoscope
Specialty Otorhinolaryngology
Date 2024 Sep 14
PMID 39276036
Authors
Jessica M L Pagel
Rachel H Jonas
James J Daniero
Patrick O McGarey Jr
Affiliations
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Abstract

The report describes the novel use of an endoscopic CO2 LASER assisted posterior glottic rotation flap in a professional voice user with non-intubation related posterior glottic insufficiency. The 78-year-old patient presented with progressive dysphonia and dyspnea with speaking with stroboscopy findings of posterior glottic insufficiency.After several empiric voice treatments without improvement, the described surgery was performed to correct posterior glottic insufficiency. After surgery, VHI-10 improved from 25 to 9, overall CAPE-V from 69 to 6.5. The patient resumed public speaking and lecturing with maintained improvement in vocal quality and function at last follow-up six months postoperatively. Laryngoscope, 135:247-250, 2025.

References
1.
Ramos P, Lagos A, Napolitano C, Badia P . Postintubation Phonatory Insufficiency: A Challenging Diagnosis. J Voice. 2020; 36(4):554-558. DOI: 10.1016/j.jvoice.2020.07.011. View
2.
Hoffman M, Vandiver B, Derise N, Hapner E, Leverson G, Simpson C . Effect of Medialization on Dyspnea Index in Unilateral Vocal Fold Paralysis. Otolaryngol Head Neck Surg. 2021; 167(2):327-333. DOI: 10.1177/01945998211056515. View
3.
Hughes C, McGarey P, Morrison D, Gawlik A, Dominguez L, Dion G . Vocal Fold Thinning in Transgender Patients. J Voice. 2021; 37(6):957-962. DOI: 10.1016/j.jvoice.2021.06.026. View
4.
Kobayashi K, You P, Devore D, Hollas S, Geraghty J, Ongkasuwan J . Endoscopic Posterior Rotation Flap for Posterior Glottic Insufficiency. Laryngoscope. 2022; 132(7):1452-1454. DOI: 10.1002/lary.30026. View
5.
Zeitels S, de Alarcon A, Burns J, Lopez-Guerra G, Hillman R . Posterior glottic diastasis: mechanically deceptive and often overlooked. Ann Otol Rhinol Laryngol. 2011; 120(2):71-80. DOI: 10.1177/000348941112000201. View