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Longitudinal vocal outcomes and voice-related quality of life after selective bilateral laryngeal reinnervation : a case study

Imke Kissel (UGent) , Kristiane Van Lierde (UGent) , Evelien D'haeseleer (UGent) , Anke Adriaansen (UGent) , Tine Papeleu (UGent) , Peter Tomassen (UGent) , Jean-Paul Marie and Iris Meerschman (UGent)
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Abstract
Purpose: Bilateral vocal fold paralysis (BVFP) is a severe disorder that can result in respiratory, swallowing, and voice-related problems. Most surgical treatments do not restore laryngeal function and often need to compromise voice quality to preserve respiratory function. Laryngeal reinnervation (LR) may offer a solution to this problem, but literature on longitudinal outcomes of this procedure is scarce. This study aims to report the longitudinal vocal outcomes of BVFP after LR and subsequent voice therapy. Method: The case of a 23-year-old man with BVFP after a traumatic dissection of both recurrent laryngeal nerves is described. Selective bilateral LR of both adductors and abductors was performed 5 months after the onset of BVFP. Voice therapy was provided after the LR procedure. Multidimensional voice assessments, including acoustic, perceptual, and patient-reported outcome measures (PROMs), were conducted 2, 5, 6.5, 8, and 31 months after LR. Results: An improvement of vocal capabilities and voice quality was noticed 6.5 months after LR, after 4.5 months of voice therapy, with normative values after 2.5 years. PROMs showed an improvement of voice-related quality of life, but some limitations to activities of daily living were still present. Inspiratory arytenoid abduction was not observed on laryngeal videostroboscopic findings in this patient, but tracheostomy was not required. Conclusions: Voice therapy after LR helps establish healthy and efficient voice use without increasing compensatory hyperfunctional behavior. More research is needed to examine potential merits of voice therapy in the rehabilitation of vocal and respiratory functions after LR.
Keywords
Speech and Hearing, Linguistics and Language, Language and Linguistics

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MLA
Kissel, Imke, et al. “Longitudinal Vocal Outcomes and Voice-Related Quality of Life after Selective Bilateral Laryngeal Reinnervation : A Case Study.” JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH, vol. 66, no. 1, 2023, pp. 1–15, doi:10.1044/2022_jslhr-22-00398.
APA
Kissel, I., Van Lierde, K., D’haeseleer, E., Adriaansen, A., Papeleu, T., Tomassen, P., … Meerschman, I. (2023). Longitudinal vocal outcomes and voice-related quality of life after selective bilateral laryngeal reinnervation : a case study. JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH, 66(1), 1–15. https://doi.org/10.1044/2022_jslhr-22-00398
Chicago author-date
Kissel, Imke, Kristiane Van Lierde, Evelien D’haeseleer, Anke Adriaansen, Tine Papeleu, Peter Tomassen, Jean-Paul Marie, and Iris Meerschman. 2023. “Longitudinal Vocal Outcomes and Voice-Related Quality of Life after Selective Bilateral Laryngeal Reinnervation : A Case Study.” JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH 66 (1): 1–15. https://doi.org/10.1044/2022_jslhr-22-00398.
Chicago author-date (all authors)
Kissel, Imke, Kristiane Van Lierde, Evelien D’haeseleer, Anke Adriaansen, Tine Papeleu, Peter Tomassen, Jean-Paul Marie, and Iris Meerschman. 2023. “Longitudinal Vocal Outcomes and Voice-Related Quality of Life after Selective Bilateral Laryngeal Reinnervation : A Case Study.” JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH 66 (1): 1–15. doi:10.1044/2022_jslhr-22-00398.
Vancouver
1.
Kissel I, Van Lierde K, D’haeseleer E, Adriaansen A, Papeleu T, Tomassen P, et al. Longitudinal vocal outcomes and voice-related quality of life after selective bilateral laryngeal reinnervation : a case study. JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH. 2023;66(1):1–15.
IEEE
[1]
I. Kissel et al., “Longitudinal vocal outcomes and voice-related quality of life after selective bilateral laryngeal reinnervation : a case study,” JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH, vol. 66, no. 1, pp. 1–15, 2023.
@article{01GPAZ4GXHRXV3N5DGCGT18FNP,
  abstract     = {{Purpose: Bilateral vocal fold paralysis (BVFP) is a severe disorder that can result in respiratory, swallowing, and voice-related problems. Most surgical treatments do not restore laryngeal function and often need to compromise voice quality to preserve respiratory function. Laryngeal reinnervation (LR) may offer a solution to this problem, but literature on longitudinal outcomes of this procedure is scarce. This study aims to report the longitudinal vocal outcomes of BVFP after LR and subsequent voice therapy.
Method: The case of a 23-year-old man with BVFP after a traumatic dissection of both recurrent laryngeal nerves is described. Selective bilateral LR of both adductors and abductors was performed 5 months after the onset of BVFP. Voice therapy was provided after the LR procedure. Multidimensional voice assessments, including acoustic, perceptual, and patient-reported outcome measures (PROMs), were conducted 2, 5, 6.5, 8, and 31 months after LR.
Results: An improvement of vocal capabilities and voice quality was noticed 6.5 months after LR, after 4.5 months of voice therapy, with normative values after 2.5 years. PROMs showed an improvement of voice-related quality of life, but some limitations to activities of daily living were still present. Inspiratory arytenoid abduction was not observed on laryngeal videostroboscopic findings in this patient, but tracheostomy was not required.
Conclusions: Voice therapy after LR helps establish healthy and efficient voice use without increasing compensatory hyperfunctional behavior. More research is needed to examine potential merits of voice therapy in the rehabilitation of vocal and respiratory functions after LR.}},
  author       = {{Kissel, Imke and Van Lierde, Kristiane and D'haeseleer, Evelien and Adriaansen, Anke and Papeleu, Tine and Tomassen, Peter and Marie, Jean-Paul and Meerschman, Iris}},
  issn         = {{1092-4388}},
  journal      = {{JOURNAL OF SPEECH LANGUAGE AND HEARING RESEARCH}},
  keywords     = {{Speech and Hearing,Linguistics and Language,Language and Linguistics}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{1--15}},
  title        = {{Longitudinal vocal outcomes and voice-related quality of life after selective bilateral laryngeal reinnervation : a case study}},
  url          = {{http://doi.org/10.1044/2022_jslhr-22-00398}},
  volume       = {{66}},
  year         = {{2023}},
}

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