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Revista Brasileira de Otorrinolaringologia

Print version ISSN 0034-7299


GRELLET, Marcos et al. The pediculated flap technique to sulcus vocalis repairing. Rev. Bras. Otorrinolaringol. [online]. 2002, vol.68, n.1, pp.75-79. ISSN 0034-7299.

Introduction: the pedicullate flap technique to repair sulcus vocalis allows the appearing of the mucous wave in this region. Sulcus vocalis cause hoarseness, breathing and roughness. Other symptoms can happen during the speech like effort, fatigue and ardor or burning. Aim: To promote the laryngol mucosal wave though a surgical technique. Material and method: Three patients were submitted to the technique by injection of small quantity of dexametazone, the epithelium stratified squamous joint with superficial layer of vocal fold is separated from the ligament vocalis. The pedicullate flap is dissected from the vocal fold mucous. Results: The postoperative evaluation with videoestroboscopy shows in the topography of the sulcus vocalis a regular and uniform surface with mucous wave. The objective and subjective voice evaluation after one year post operative presents normal results. In this period the symptom effort, fatigue, ardor and burning disappeared in case of unilateral sulcus. In both vocal fold sulci, surgery was performed first at one side, and then in the opposite one. Although we have a short follow up of sulcus in the other vocal fold, voice parameter results are good. Conclusion: the technique achieved fairly results provale functional results in all cases.

Keywords : sulcus vocalis; voice; phonosurgery.

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