Does improved glottal closure through framework surgery or vocal fold augmentation (VFA) improve dyspnea symptoms?
Explore this issue:February 2018
Patients with glottic insufficiency and dyspnea prior to intervention to improve glottic closure had a significant reduction in dyspnea following treatment, while those without dyspnea complaints prior to intervention had variable outcomes for dyspnea symptoms. Additionally, VFA or medialization laryngoplasty did not worsen dyspnea symptoms.
Background: Disease processes such as unilateral vocal fold paralysis (UVFP), vocal fold paresis, advancing age, and progressive neurodegenerative disease can have a deleterious effect on glottic closure. Treatment typically targets voice outcomes, but many patients anecdotally report improved deglutition and breathing following surgery.