Objective:

There are no published data examining laryngeal function outcomes with staged intervention combinations for vocal fold paresis and paralysis. It is important to evaluate the effect of staged interventions on objective and subjective laryngeal function to inform clinical decision making. Additionally, it is important to examine baseline differences in patient characteristics that would predict the need for a type 1 thyroplasty alone instead of staged intervention(s).

Methods:

A retrospective chart review of approximately 500 patients who underwent type 1 thyroplasty between January 1990 and April 2024 was conducted at a single voice center.. This study received exempt status from the Institutional Review Board at Drexel University. Patients were sorted into groups based on the order of interventions they received. Patient demographic data, objective laryngeal function, and subjective voice handicap index scores were collected.

Results:

183 cases of type 1 thyroplasty were identified from the electronic medical record between 2017 and 2024. Operative reports for type 1 thyroplasty were also collected from 1990 to 2024, and available paper charts for these data were requested. Results will be forthcoming.

Conclusion:

Staged procedures may be associated with improved voice outcomes. Patient factors such as professional voice use and laryngeal function may influence initial intervention preference.